Forms

I ask that on or before your first counseling session, you arrive a few minutes early with the necessary paperwork (see below) completed or email them to me.  I will need these for my files.  Please let me know in advance if you do not have access to a printer or computer.  We can arrange then to have you arrive 20 minutes ahead of time in that case so I can provide you with the paperwork and you can complete it in the waiting room (outside the pandemic).  Inside the pandemic, these are all sent electronically.

Please note there have been changes made to the consent forms below as of March 2020 regarding privacy and security, and communication, as well as to sessions during an illness.

Please note that the Consent for Release of Information form is generally only needed once or if we decide to bring others into therapy — such as family doctors, family members, and so on.  It is advisable to complete this form in the case of couples counselling.  I will at that time, have you become more specific.

The Walking Talking Consent Form may not be applicable.  If you think you might like to try it at some point, it could be helpful to complete it in advance.

Please know my request for gender pronouns in one of my forms, is to help me use the most respectful language when serving you. You are under no obligation to complete that part of the form.

 Information Package and Informed Consent Form

Counselling Website Intake and First Session Orientation Form

Telephone, Online Consent Form

Consent for Release of Information

Walking Talking Consent Form

Email: cortney@ontariotherapist.com

Conveniently located office:

287 Main Street West, Hamilton, Ontario (In-between Queen and Locke Streets). Free parking in the back of the building or metred parking across the street. Entrance in the front.  Waiting room through the front door to the right.  Please note that I operate a scent-free office to protect people with allergies and sensitivities, and will ask all clients to remove their outer footwear before entering the office.  I require 48 hours for cancellations to avoid a fee, and I accept cash, visa and interac e-transfer for payment at the time of the appointment.  I require clients to provide credit card information in the case that payment is not made within 48 hours through other means.

I also offer services online and over the phone.