Let's work together...

New Client Inquiry form

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.

First Name

Last Name

Your Pronouns

Phone

What is your preferred method of contact?

Can we leave you a voicemail?

Preferred Format of Sessions

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

Preferred Gender of Therapist

Therapist

Which type of counsellor would you like to be matched with?

If you prefer in person sessions, are you open to meeting virtually if there is no in person counsellor available?

Would you consider working with an intern counsellor?

Please indicate which of the following fields apply

Do you have a preference regarding therapist designation for insurance purposes?

How soon would you like to be seen?

Where are you located?

Any other information you think would be helpful for us to know?

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...

New Client Inquiry form

CANCELLATION POLICY

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We’re excited to welcome children and families to our new play therapy space—a warm, supportive environment where children can feel safe, understood, and free to express themselves through play.

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