Appointment Form

Fill out this form if you are interested in arranging counselling through Here With You. We’ll get back to you via email to discuss your concerns. If you like, we can schedule a free initial consultation of 15 minutes where you can meet the counsellor and ask any questions face-to-face (or voice-to-voice). 

If it turns out that we’re not well-suited to support you, we will always try to connect you with a more appropriate service. 

Please select any/all that may apply.
Is there anything else you would like your chosen counsellor to be aware of in order to support you?

Here With You does not provide mental health crisis support.

If you are in crisis and require immediate assistance, please call 911 or go to your nearest hospital emergency department. You can also call the Gerstein Centre Crisis Line at +1 416 929 5200.