Complementary Appointment Form 20 Minutes

Lead Source

Name

First NameLast Name

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Email

example@example.com

Best method for contacting you?

Best time of day to reach you?

Do you want us to leave a voicemail ?

Which service would you like to learn more about during this complimentary consultation?

How can we help you?

Additional notes (for example preferred date and time to contact you):

Consent And Acknowledgment

Electronic Communications Consent (CASL) By submitting this enquiry, I consent to Toriven™ Health Inc. contacting me by phone, voicemail, email, or text message regarding my enquiry, waitlist status, appointment scheduling, and related service updates. I understand that calls may display Toriven Health Inc. as the caller identification and that emails may be sent by the Toriven Intake Team or another authorized Toriven Health Inc. email address. I understand that electronic communications involve privacy risks, particularly if I use a shared device or account or if others have access to my phone or email. I may withdraw my consent at any time by contacting privacy@torivenhealth.ca or, where applicable, by using the unsubscribe link in electronic messages.

Privacy Policy Consent And Acknowledgment

If you wish to withdraw your consent, access or correct your information, or have questions about our privacy practices, please contact us at privacy@torivenhealth.ca

Please review our Privacy Policy before submitting this form: https://torivenhealth.com/privacy-policy

Crisis Support or Emergency Help
Toriven™ is not a crisis service. If you are in immediate distress, contact 9-8-8 (Canada Suicide Crisis Helpline) or your nearest emergency department or dial 911.

Crisis Support 988
Emergency 911

Please verify that you are human

Inquire About Our Assessment Services

Contact Information