Living Systems Counselling Inquiry Form

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Please complete the following information and we will get back to you by email within 1 business day. If you prefer a phone call please leave a message at 604 926 5496. Our counselling services are for residents of Canada who are 19 years or older. Our rate to see an Intern Counsellor is $20 or $40. To see a registered counsellor our rates are $65, $85, $115 or $155 depending on availability and household income. For a short description of each counsellor or intern please visit the counselling page of our website.

Email *

Full Name *

Phone # (indicate if we are NOT permitted to leave a message in your answer below). *

Our services are primarily for adults living in BC (with some exceptions). Please indicate what city you live? *

Briefly describe your reason for counselling:

In the past three months, have you had any thoughts of suicide?

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