Book Consultation - Whole Heart Mental Health & Wellness

Name of Client *

First

Last

Email *

Phone number *

Yes! I would like to receive the Whole Heart Mental Health and Wellness newsletter and get the latest news and information about programs and services. I know I can opt out at any time

Please identify what type of service you are inquiring about

In Person
Virtual
Either of the above

For In Person service, Please identify the desired location

Toronto (Yonge and Davisville)
Ajax
North York (Duncan Mill)
Bathurst and Eglinton

GROUPS

DBT Skills Groups
Sanchin Martial Arts (6-12) in person

For the following, Please identify the services you would like to inquire about

Provide a brief summary below, and we will contact you by email or phone to set up a phone call so that we can match you with the best service for you and/or your family.

Kindly note the following:

Counselling is not covered under OHIP, but may be covered by insurance.
Submitting this form will NOT connect you with a psychiatrist.
Psychiatric service is only by referral from an MD or NP, for ages up to age 22 and is for consultation (One appointment).
At this time, we cannot provide services for people suffering with eating disorders, psychosis, substance abuse, or bipolar disorder.

How did you hear about us?

Friend/word of mouth
Pediatrician/family doctor
Internet search
Other