Please enable JavaScript in your browser to complete this form.Name of Client *FirstLastEmail *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 timePlease identify what type of service you are inquiring aboutIn PersonVirtualEither of the aboveFor In Person service, Please identify the desired locationToronto (Yonge and Davisville) Ajax North York (Duncan Mill)Bathurst and EglintonGROUPS DBT Skills GroupsSanchin Martial Arts (6-12) in personFor the following, Please identify the services you would like to inquire aboutAdult (23 +) ADHD assessment with Nurse Practitioner (700 dollars, Referral not required)Adult Psychiatric Consultation (23+)with Nurse Practitioner (700 dollars, Referral not required)Individual counsellingParent Coaching EDUCATIONAL THERAPY (Executive Functioning/IEP/Study Skills support)Family TherapyPsychoeducational Assessment (you can email gkirsh@rogers.com directly to book a consultation)Registered Nutritional Consultation (Non- diet, weight – inclusive approach to healthy and nutritious living)Helping Hands Tutors (1:1 tutoring)I want to discuss my optionsProvide 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).Our in house family physician can offer short term medication management by referral from our psychiatristAt this time, we cannot provide services for people suffering with eating disorders, psychosis, substance abuse, or bipolar disorder.SUBMIT Back to services
