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Have a question? Contact us below!

Name

Phone

Who would you like to work with?

Rank order the therapist(s) you would like to work with (max 3 therapists).

I = Individual, C = Couple/Relational, F = Family, S = Sex Therapy // O* = Online Only

Ideal appointment times? (ex. Online/In-Office, Weekends, Monday Mornings, etc.)

Morning (9:00-12:00)

Afternoon (12:00-5:00)

Evening (5:00 onward)

Mon

Tue

Wed

Thu

Fri

Sat

Sun

What is your preferred method of contact?

What would you like us to know about you?

What is your ideal format?

Do you have any insurance, if you do, what are you covered for?

Thanks for Submitting!

Intake: Ext. 0

For Therapist's Extensions, Please call our number, stay on the line, and listen closely to our menu options

Location Info

MARKHAM: 7030 Woodbine Ave. Suite 500, Markham ON, L3R6G2

Your Story Counselling
Individual, Couples, Family, Sex, & Trauma Psychotherapy

Land Acknowledgment

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