Request an appointment This form will help us assign you to the right therapist according to your needs and availabilities. Please note that current wait list times for psychotherapy with a psychologist or therapist are approximately 80 days for appointments during the daytime, and 120 days for appointments outside of work hours. If you have any questions about our waitlist, please email us at firstname.lastname@example.org Name* First Last Email* Phone*Which of our clinic services are you interested in?*- select an option -Individual TherapyCouple's TherapyTherapy for a child or teenIndividual Mindfulness TrainingOther Individual Wellness ServicesHow can we help?*In which language(s) would you like to receive services?* English French You can select more than one Submit This iframe contains the logic required to handle Ajax powered Gravity Forms.