Welcome to Cornerstone Counselling Group

Contact

For general inquiries, please email info@cornerstonecounsellinggroup.ca.

To request an appointment, please complete the online intake form below.

* Indicates required fields

Form Completed By (Name):*
Client Name:*
Date of Birth:*
Client Address:*
Primary Phone:*
-
Secondary Phone:
-
E-mail:*
Okay to leave message?*
Referral Source:
Marital Status:*
Therapist/Specialty Request:*
Availability:*
What areas are you hoping to address in counselling?*
Are you experiencing any suicidal thoughts?*
If this is an emergency, please call 911 or contact the crisis line at 604-951-8855.
Type the characters you see here: