To help us match you with a therapist, please fill out the fields below.
We will get back to you the same day or next day.
(if you don't hear from us, please check your junk mail!)
NameE-mailPhone NumberCity/TownAge(s) of potential client(s)
Gender
Female
Male
Non-Binary
I am seeking:
Individual therapy
Couples therapy
Family therapy
EMDR therapy
Child & Adolescent therapy
Reason for seeking therapy/What do you want to work on?
When are you available? (check all that apply)
Mornings
Afternoons
Evenings
On which days? (check all that apply)
Mondays
Tuesdays
Wednesdays
Thursdays
Fridays
Weekends
Please provide any additional info regarding availability, if needed:
Preferred modality (check all that apply):
In-person Sessions
Online Sessions
Phone Sessions
Do you have insurance?
Manitoba Blue Cross
Canada Life
First Nations & Inuit Health Branch
SunLife
I do not have insurance
Preferred gender of the therapist:
Female
Male
No preference
Are there any specific therapist(s) you would like to work with? Some of our therapists are currently accepting new clients and some have waiting lists.Have we missed anything? Please provide any additional info you’d like us to know: