Psychological Services for children, youth, and families

Contact Us

For any questions or inquiries, you can email us your phone number at info@leapclinic.ca and someone from our team will be in touch. Or you can also fill out the form below.*

Please note: Session fees may be reimbursed by extended health benefit providers. If applicable to you, please confirm the professional designations that your insurance will cover (i.e., “Registered Clinical Counsellor” and/or “Registered Psychologist”). Thank you.

 

Name of person inquiring:

Who are you inquiring for?
MyselfOther (e.g. child)

If other, please give first name and age of child.

Your Email:

Your Telephone:

OK to leave message on phone?

YesNo

Please tell us briefly the reason you are wanting our services (primary areas of concern and/or challenges).

If you are inquiring to request a presentation or workshop, please describe what you are looking for here:

What are your preferred days/times for an appointment? (You can select multiple options ctrl + click in PC or cmnd + click on MAC)

As we are a private clinic, most appointments and the fee associated with service must be paid at each session by cash or cheque.

How did you hear about us?

Please type the code below into the text field.

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Thank you. Someone from our clinic will try to get in touch with you (either by phone or email) within 24 hours. If you encounter difficulties sending the form, possibly due to firewall issues, please contact us by email at info@leapclinic.ca

The LEAP Clinic Team

 


* Please keep in mind that your privacy is not protected or guaranteed when using email or in contacting us online. But we promise to never sell or share your information with a third party. Please read our privacy policy here.