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Please complete the form below. Upon submission, you will receive confirmation of the appointment as close as possible to your preferred date and time.

I currently have limited availability for new clients.

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Name

Phone

Preferred Date (YYYY-MM-DD)

The 15-minute no-charge consultation is for:

Myself – I would like to attend therapy for Individual Sessions

Myself and my partner – we’d like to attend therapy for Couples’ Counselling

Preferred Time(required)

Afternoon Early evening

Please share how you heard about Carol Pitre Psychotherapy
(Google, Psychology Today, a specific person, etc.)

Notes

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