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Counselling Inquiry Form for New Clients

Please take a moment to complete this form. Once we have reviewed your information, one of our counsellors will contact you within 48 hours to set up an appointment or answer any questions you may have. By submitting this web form, you agree to allow Lotus Therapy & Counselling Centre to collect personal information about you through its website.

Name*
Your Pronouns
Email*
Phone*
Preferred Type of Counselling Appointment*
Preferred Type of Therapy*
When are you typically available for counselling sessions?*
Briefly describe what you'd like to address in therapy. This helps us match you with the right therapist*
Office Location
Please indicate which of the following fields apply
Preferred Gender of Therapist
Therapist
Preferred Language
How did you find us?*

We would be delighted to hear from you if you have any inquiries or feedback. Whether you are based in Vancouver, B.C., or anywhere else in Canada, we are committed to providing exceptional service and support.

Thank you for considering our services, and we look forward to hearing from you soon.

CANCELLATION POLICY

A 24 hours notice is required for cancellation or rescheduling of an appointment as this allows for others to use that time. Late cancellations will result in half the cost of a session fee and no-shows the full cost of a session fee.

Let's work together...

Click here to book directly online

Counselling Inquiry Form for New Clients

CANCELLATION POLICY

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