This questionnaire helps to understand the concerns you would like to address and your goals for counselling. It also provides important information about services, policies, and confidentiality so you know what to expect as you begin.
All information you provide is kept confidential in accordance with legal and professional standards of the British Columbia Association of Clinical Counsellors. Please complete this form as honestly and fully as you can to help make your counselling experience as effective as possible.

Please note: Payment is required at the end of each counseling session unless prior arrangements have been made. The amount for a 50-minute session is $150. No further session will occur until payment of the previous session is made. 

Payment can be made in cash or by e-transfer to hello@soundmindcounselling.org

Confidentiality: All information shared in counseling sessions will be kept strictly confidential and will not be disclosed without your written consent, except in the following circumstances:

If there is risk of harm to yourself or others

If there is suspected abuse or neglect of a child, elder, or vulnerable person

If records are subpoenaed by a court of law If required by law or professional regulation

Counseling is a collaborative process and results may vary. You are free to discontinue counseling at any time. You are encouraged to ask questions at any point in the process.

I have read and understand the information above and consent to participate in counselling services.