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FindYourMatch

Let's Connect

Let's find the right fit for you!

Filling out this form will help us determine which clinician might be the best fit for your needs. Our office admin will review your needs and contact you within a day or two.

First name of person filling out form

Last name

If filling this form out on behalf of another individual, what is their name and your relationship to them? (If this is for couples counselling, just skip this section)

Phone (don't worry... we won't hassle you.)

Which of our locations works best for you?

Do you have a preference for the counsellor's registration type? (Note that some insurance companies require specific registrations, so please do verify if important to you)

Do you have a preference for the gender of the clinician?

What times of day work best for you?

Will any of the following third-party insurers be providing funding?

We provide direct billing for a number of employee insurance policies. If you have insurance through work, please list only the insurance company here:

We provide reduced-rate counselling services for those experiencing financial difficulty. Please note that these sessions are offered only by Interns and are not eligible for reimbursement to insurers. Are you looking to access this service?

Age: It often helps for us to know the general age(s) of the client(s). If you feel comfortable providing that, please do so. For minors, we require specific ages.

What kind(s) of counselling are you looking for? Select all that apply:

Individual (1:1) Counselling

Couples/Relationship Counselling

Family Therapy

Group Therapy

Do you have specific goals in mind for therapy?

In a few sentences, please describe how we can help. Please don't go into too much detail as this is going to our administrator for matching purposes rather than to a therapist.

Book a session

Therapy Place

Counselling Group

Counselling Nanaimo Since 2017

Contact

Let's Connect

Let's find the right fit for you!

Or use this form to send us a message
and we’ll get back to you shortly.

Contact

Let's Connect

Let's find the right fit for you!

Or use this form to send us a message and we’ll get back to you shortly.

Or use this form to send us a message
and we’ll get back to you shortly.