Introduction

After you have booked your first couples counselling session with us and before you come in for your first session, we would ask you to complete the form below.

We would ask that both partners complete separately and submit the form. The purpose of doing this is so that the counsellor who sees you can have a starting point for your session.

Initial Therapy Introduction*

Your Name (required)

Your Email (required)

Please provide a brief explanation of what you believe your relationship issues or problems to be:

Please provide a brief summary of what you expect to get from your couples therapy sessions:

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Enter the text in the image above in the field below to verify that you are a person and not a spam bot.

*Note that this form is to be used only by current clients for communication regarding our services. All other uses - such as to send unsolicited email (spam) - are prohibited.