Name
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First Name
Last Name
Age
Email Address
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Phone Number
How did you find New Tides Counselling and Wellness?
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Google
Psychology Today
BCACC Website
Counselling BC
Counselling Match
Social Media
Recommended by current/past client
Friend or family member (not current/past client)
Recommended by doctor/other practitioner (please indicate name below, if known)
Sun Life/Lumino Provider Website
Luminesque
Other (please let us know via the text box below)
What counselling services are you interested in?
Please select all services that interest you
Individual Counselling
EMDR
Relationship/Couples Counselling
Low Cost Counselling ($50) with an intern
CVAP funded counselling
ICBC funded counselling
Are there any other holistic or group services you would also like to be contacted about?
Breathwork
Art Therapy
Individual Counselling and Yoga
4 Week Making Sense of Trauma Group (Waitlist)
Online Anxiety Program (Yoga, Mindfulness, Trauma-Informed Learning)
Calm and Connected Events (Monthly in person yoga & connection in Vancouver)
Please select who you are interested in connecting with
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No preference
ALIZA - Wednesdays
CLAIRE - Weekdays before 3pm, Evenings Online
HANNAH - Weekdays, Evenings & Sundays
KRISTINA KIRSCHNER - Wednesday Evenings, Sundays
SAFFRON - Weekdays, Evenings
AMANDA (Intern) Evenings online, Daytime In Person
DONNA - (Online, only accepting couples/relationship counselling) Weekdays & Evenings
KRISTINA BELYEA (Waitlist)
CAMILLE (FULL)
COURTNEY (FULL)
MERCEDES - (FULL)
MORGAN (FULL)
TORI (FULL)
Do you prefer online or in person services?
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I prefer online services
I prefer in person services
I'm open to online or in person services
Anything else you would like us to know, including other challenges you're looking for support with, or what type of support you're looking for?
One of our counsellors will be in touch with you as soon as possible. If you do not hear receive a response within 24 business hours, please check your spam folder.
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Please check below to indicate that you understand that no form of electronic communication can be guaranteed as completely secure. By checking below, you are consenting to be contacted via email, and that you are aware of our privacy policy: www.newtides.ca/privacy-policy.
I agree
Thank you! One of our counsellors will return your message within 24 hours (between Monday and Thursday). While you are waiting, you may find our groups and events helpful in increasing the efficiency of counselling! If you haven’t heard back from us within this time frame, please check your spam folder, and feel free to email us directly at connect@newtides.ca