Instructions
We use secure digital platforms, including GoRendezvous (client management platform) and BetterMind/ MHS/ Pearson (mental health online questionnaires), to send and collect intake and consent forms.
We send forms in different ways, depending on your therapist.
- You may receive:
- A fillable PDF, or
- An online form through GoRendezvous or BetterMind
What to do:
- Open the link you receive.
- Answer the questions at your own pace.
- Submit the form when you are finished.
- If the forms are hard to use, confusing, or not accessible to you:
- Email your therapist, or
- Contact us for support
- We can help, provide another format, or walk through the forms with you if needed.
If digital forms are not accessible for you, please let us know. We can provide alternative formats or assist with completion, in accordance with the Accessibility for Ontarians with Disabilities Act (AODA).
Consent to Disclose Personal Information
Consenting form to release personal information to the psychotherapist and consulting services.
Consent - Adult
Information and consent to adult psychotherapy and consulting services.
Consent - Child
Information and consent to child psychotherapy and consulting services.
Consent - Telehealth
Online counselling and or remote psychotherapy.
End of Treatment Feedback
Client counsellor feedback.
Intake - Adult
Adult intake form for counselling and or psychotherapy.
Intake - Child
Adult intake form for counselling and or psychotherapy.
Intake - Relationship
Relationship intake form for counselling and or psychotherapy.
**Please note both parties are required to fill out a separate form.
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