New Clients: Please complete these forms and bring them to your first session. (Counselling Policies are then renewed each calendar year.)
Complete and return this form if you are requesting online counselling.
Complete this form if you intend on having a support person present.
Complete this form to request that I consult with your physician for joint treatment planning.
Physician Consent (pdf)
Registered Professional Counsellor (CPCA)
Canadian Certified Counsellor (CCPA)
Certified Professional Counsellor (PACCP)
For more information, please email my assistant at firstname.lastname@example.org or leave a me
confidential voicemail: (306) 540-5841
Copyright © 2019 Adrie-Anne Gamble Regina, SK