Courtney James Counselling and Psychotherapy

Complete the Form as Pre-Registration

For children grades 1-6 (ages will be divided to create cohesive group settings)
Intensive approach 1-2 times per week
depending on group size
Cost can be covered under many insurance plans through Registered Psychotherapy
$90+HST per session (each session is 1.5 hours)
Total of $540+HST (6 sessions total)
Groups require a minimum of 4 participants; maximum of 8

Parent or Guardian Name

First Name

Last Name

Phone

(###)

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Email

Child's Name

First Name

Last Name

Current Grade

School Child Attends

Include Diagnoses or Presenting Concerns

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Introducing: Emotion Regulation & Social Skills Groups

Complete the Form as Pre-Registration

Introducing:
Emotion Regulation & Social Skills Groups