Door of Hope Counselling Clinic, Inc.

Call Us: (604) 790-9032

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  • More
    • Home
    • Counselling Services
      • Addiction Counselling
      • Anxiety Therapy
      • Couple's Therapy
      • Depression Therapy
      • Family Therapy
      • Grief Counselling
      • Group Counselling
      • Individual Counselling
      • Marriage Counselling
      • Online Counselling
      • PTSD
      • Premarital Counselling
      • Sex Addict Counselling
    • Fees
    • Our Team
    • Forms
    • Resources
      • Brochures - Mental Health
      • Videos - Brene Brown
      • Videos - Caroline Leaf
      • Videos - Inspirational
      • Videos - John Gottman
      • Videos - Relationships
    • Contact Us

Call Us: (604) 790-9032

Door of Hope Counselling Clinic, Inc.
  • Home
  • Counselling Services
    • Addiction Counselling
    • Anxiety Therapy
    • Couple's Therapy
    • Depression Therapy
    • Family Therapy
    • Grief Counselling
    • Group Counselling
    • Individual Counselling
    • Marriage Counselling
    • Online Counselling
    • PTSD
    • Premarital Counselling
    • Sex Addict Counselling
  • Fees
  • Our Team
  • Forms
  • Resources
    • Brochures - Mental Health
    • Videos - Brene Brown
    • Videos - Caroline Leaf
    • Videos - Inspirational
    • Videos - John Gottman
    • Videos - Relationships
  • Contact Us

Welcome To Our Client Forms Page

 The Online Intake Form & Informed Consent must be read, completed and signed Online before your first visit. This will allow the Therapist to immediately get underway with the Initial Assessment. 

Book an appointment

DESCRIPTION:

Intake Form

 The Intake Forms is a questionnaire that contains various questions relating to you, your family, and your life experiences. This document must be completed Online before your first session.  

Informed Consent (Adult)

 The Informed Consent (Adult) is a legal document, which describes the client and the therapist's role, rights and responsibilities related to their professional and therapeutic relationship. It must be signed by a client 19 years of age and over.   

Informed Consent (Minor / Adolescent)

The Informed Consent (Minor / Adolescent) must be signed by all parties--Parents / Legal Guardian(s) / Adolescent (13-18 years of age), and Therapist. Your child, 12 years of age and under, is not required to sign the Informed Consent.  

Online Intake Form & Informed Consent (Adult)

 Please click on the Online Intake Form link below to be directed to this form on our Online Booking Site.  

Online intake form & Informed consent (adult)

Online Intake Form & Informed Consent (Minor & Adolescent)

 Please click on the Online Intake Form link below to be directed to this form on our Online Booking Site.  

Online intake form & Informed consent (Minor & Adolescent)

Authorization For Release of Information Form

Please click on the download button below to download the Authorization for Release of Information Form. Then complete, sign, date, and send it to: info@doorofhopecounselling.com 

Authorization for Release of Information (pdf)

Download

Contact Form

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Door of Hope Counselling Clinic, Inc.

2968 Glen Drive, Suite 3007, Coquitlam BC V3B 0C4

Call Us: (604) 790-9032 Email: info@doorofhopecounselling.com

Clinic Hours

By Appointment Only


Monday - Friday: 9:00am - 6:00pm 

Saturday: Closed

Sunday: Closed


Copyright © 2013 Door of Hope Counselling Clinic, Inc. All Rights Reserved.

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