35 Athabasca Ave, Devon, Alberta, T9G 1G5

Intake Form

Click the link below to fill out our Intake Form. The form will open in a new tab or window, and you can fill it out online. When you have completed it, print it, scan it and email  it to   clarencecounsellingcentre@gmail.com.  or bring the completed form to your first counselling session.

Clarence Counselling Centre Intake Form