Please complete this form to request an appointment. At this time, we are only seeing clients for assessments (e.g., psych-ed, autism, CLBC) and are not seeing clients for therapy.

Once you complete this form, your application will be reviewed and we will contact you with next steps or to request additional documentation.

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YOU WILL RECEIVE AN AUTOMATIC REPLY THAT WE HAVE RECEIVED YOUR REQUEST. PLEASE ALLOW 3 TO 5 BUSINESS DAYS FOR US TO REVIEW YOUR REQUEST.

Thank you

Fax: 604.291.7879
204-4279 Dawson Street; Burnaby BC V5C 4B3