Contact Us

Name*

Phone*

Check this if you do NOT give permission for us to leave a phone or text message.

Email*

Preferred Counseling Location*

KelownaVernonVancouver & BurnabyGrande Prairie

Preferred Time of Day for a Session*

MorningAfternoonEvenings

Preferred Days for a Session*

MondayTuesdayWednesdayThursdayFridaySaturdaySundays

Preferred Counsellor

—Please choose an option—No PreferenceAmy MossetCassie SmithMichaela LeedahlRobyn CowperHollyRobinFringinaKellyAnnetteLeanneSamantha

Comments*