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Fill out your contact information and a brief message about the referral concern. Please include as much information as you are comfortable with.

Please note that the method of contacting the clinic is this fillable form.

This service is restricted to residents who live in and are physically in Ontario, Canada. Appointments are limited.

Therapy is completely virtual with no in-person appointment options.

Psychoeducational Assessments are in-person in London, ON.

Sessions are by appointment only. This is not an emergency response service. If you or someone you know are experiencing a crisis or require emergency service please call 911 and/or contact your nearest Emergency Room.