Connect With Us.

Our team will review your request and an available therapist will be matched based on your identified need.

You will be contacted by the Registered Social Worker Therapist to schedule the initial consultation which is provided at no cost.

Please click the button to the left and complete our request for service form.

Consent Form

CONSENT FORM

Insurance Direct Billing Form

TELUS HEALTH DIRECT BILLING FORM

Client Satisfaction Form

CLIENT SATISFACTION FORM

Covid-19 Forms

COVID SCREENING FORM

Symptom Screening Tool

MB SHARED HEALTH SCREENING TOOL

MB BLUE CROSS HEALTH DIRECT BILLING FORM

HIPAA & Security

Confidentiality and the overall Security of our clients is our top priority.
In order to maintain excellence in this area our therapists operate within the Jotform platform.

How secure is my data with Jotform?

Connect With Us.

Please click the button to the left and complete our request for service form.

HIPAA & Security

Mobile Social Clinic

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