Request an appointment This form will help us assign you to the right therapist according to your needs and availabilities. Please note that due to the current COVID-19 crisis, our therapy services are being offered remotely. If you have any questions about our waitlist, please email us at email@example.com 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.