
MIAG Centre for Diverse Women & Families
Mental Health Counselling Intake Form
*Please be advised that our intake worker, Solinas, may need to follow-up with a phone call and/or email to collect more information necessary for the referral process.*
Mental Health Counselling Intake Form
*Please be advised that our intake worker, Solinas, may need to follow-up with a phone call and/or email to collect more information necessary for the referral process.*
Thank you for submitting your completed counselling intake form. We will confirm your registration soon. Stay tuned!
Uh oh. There was an error in sending your message. Please try again later or reach out to our intake worker Solinas at solinas@miag.ca or call (437) 220-6659.
Phone: (905) 270 6252
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