Register Online

Dear Parent,

This online registration form can be submitted to efficiently set up an appointment for your child.  The information provided in this form will only be used for setting up appointments. As with any communication over the internet, this form may be intercepted by a third party, therefore, submission of this form indicates that you are aware of this risk. Alternatively, you may telephone us at 647-236-4263 and leave a voice mail indicating when we can return your call. One of our therapists will contact you within 2-3 business days after we receive your form or voicemail. 

As regulated health professionals, we are required to follow the directives set out by the Ministry of Health and Public Health Ontario to reduce the risk of infection for our clients, families and ourselves.  Therapy sessions via our privacy compliant video platform will continue to be the first choice whenever possible during COVID-19.  

 

Appointment Request Intake Form
Address
Street Address
Apt, Suite, Bldg. (optional)
City
State/Province
Zip/Postal