Event Reservation Form You are requesting: Holiday Support Session Registration Important: Welcome! This seasonal event offers a lower-cost session with one of our clinicians, to offer support and comfort ahead of the holiday season. If you are not sure if this service is right for you, schedule a free call to discuss your options. We are available to help. Your Name(Required) First Name Last name Your Email(Required) Phone(Required)Age(Required)Please briefly describe the concerns you are experiencing:(Required)Please note that the session is a one time solutions-focused appointment.I prefer to see:(Required) Doctoral Psychology Student ($50) Registered Social Worker ($125) Clinical Psychologist ($175) I am open to anyone of the above clinicians/fees, and/or I prefer to prioritize the best fit for my needs Other Please select your clinician and/or fee preference for the session. Which session format do you prefer?(Required) A virtual session An in-person session (Office located at 3080 Yonge St Suite #5090 or #5012) I am open and can make virtual or in-office work Please list your availability below.(Required) I can be flexible anytime for the clinician/fee I've selected I can only attend a morning session I can only attend an evening session If the availability options above did not reflect your unique schedule, please specify below:Please note that we will do our best to accommodate in office-only requests. However, please note that your clinician/fee preference and availability can greatly affect if there will be office space available with selected clinician. Please submit your completed form and our office will contact you to discuss further.I have read through this form as well as the event page description and understand the above information(Required) I agree A copy of your registration form will be emailed to you. If you have any questions please don't hesitate to contact us at intake@tpwg.ca. Thank you!
