New Client Contact Form

If you are interested in receiving counselling services with us, please fill out the form below and a member of our staff will be in contact with you soon.

All answers are kept confidential and are sent directly to a Turning Point staff member.

If you are experiencing an emergency – please call 911 or the Crisis Response Centre at 204-940-1781

What kind of counselling are you looking for?*
- Individual
- Couples Counselling
- Family
Are you inquiring for yourself or for someone else? Please specify:*
Client Name (who will be attending sessions)*
First Last
Client Age*
Please provide a brief description of why you are seeking counselling at this time*
FEES FOR SERVICES

Our regular fee for counselling is $85.00 per session - however, subsidies (reduced fees) are available for those who meet the requirements. The fee for sessions would be assessed on a sliding scale based on annual household income.
Will you be applying for a subsidy for your counselling sessions?*
SCHEDULING

Our office hours are:
Mondays: 11:30am - 7:30pm
Tuesdays: 9:30am - 5:30pm
Wednesdays: 9:30am - 5:30pm
Thursdays: 11:30am - 7:30pm
Which days & times work best for your schedule?*
CONTACT INFORMATION
Name*
First Last
Phone*
Email*
Preferred contact method:*
- Phone
- Email
Please Note:
Submission of this form does not guarantee you services at Turning Point. Once we have received your completed form, our intake staff will contact you if we are able to provide the appropriate services for you. In the event we are unable to provide what you need, you will be referred elsewhere.
Name
This field is for validation purposes and should be left unchanged.

New Client Contact Form

FEES FOR SERVICES

SCHEDULING

CONTACT INFORMATION