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Please provide your contact information to get started. Nicole will contact you as soon as possible to answer your questions and set up a session.

If you are in crisis and looking for immediate support, please contact your local crisis line. If this is an emergency, please call 911 or go to your nearest hospital emergency room. In the General Toronto Area you may use one of the following numbers for crisis/distress support:

Simcoe County: (705) 728-5044
Toronto: (416) 408-4357
Durham Region: (905) 666-0483

York Region: 1 (855) 310-COPE (2673)
Across Canada: 1 (833) 456-4566
Kids Help Phone: 1 (800) 668-6868

"Welcome to Squoia Counselling" carved on a ring of a tree trunk.

Please Complete this intake form

    First Legal Name*

    Last Legal Name*

    Email*

    Phone Number*

    City*

    Province*

    What brings you to counselling?*

    What services are you interested in?*

    When are you usually available to attend workshops?*

    When are you typically available for sessions?*

    Is there any other information that would be helpful for your counsellor to know?

    Do you have any questions about counselling or about Nicole that you'd like answered before your first session?

    How would you prefer Nicole contact you to answer your questions and set up a session?*