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Let’s Find the Right Therapist for You

New Client Intake Process – Step 1
 
 

Tell us a little about yourself and what you're looking for. Our Client Care Team will use this information to help match you with a therapist based on your needs, preferences, availability and location.

Not sure what kind of therapy you need? That's okay — we'll help you find the right fit.

About You

In Canada, please include 1 before your phone number.

Date of Birth
Month
Day
Year

What are you looking for?

Type of Therapy

Main Concern

Select all that apply.

Do you have a specific therapist you'd like to work with?

Please select one option:
No — please help me find the best match
Yes — therapist's name:

What days and times generally work best for you?

Select all that apply.

What Matters Most to You When Choosing a Therapist?

Select any that are important to you. This helps us find the best possible match.

Select all that apply.
Do you have a preference for your therapist's gender?

Final Details

Just a few last details before we help find your therapist.

How did you hear about Psychotherapy for You?
How would you prefer our Client Care Team to contact you?
Email
Phone
Either is fine
Safety acknowledgement:
I understand that this form is not monitored for emergencies or immediate crisis support.
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