Gtatherapy
Home
About
Contact
Locations
Join Our Team
Supervision
Wellness Consulting
Services
Anger Management
Couples and Relationship Counselling
Depression
Anxiety
Addictions
Self-Esteem
Stress Management
Abuse and Trauma
Grief and Loss
Life Transitions
Career Counselling
PAR Program
info@gtatherapy.com
☎ (416) 231-4700
Gtatherapy
Home
About
Contact
Locations
Join Our Team
Supervision
Wellness Consulting
Services
Anger Management
Couples and Relationship Counselling
Depression
Anxiety
Addictions
Self-Esteem
Stress Management
Abuse and Trauma
Grief and Loss
Life Transitions
Career Counselling
PAR Program
info@gtatherapy.com
☎ (416) 231-4700
Therapist Profile & Availability
Name
*
First Name
Last Name
Email
*
Are you taking clients this month?
*
Taking Clients
Not taking cients
If yes, how many new clients can you take on?
*
Preferred setting for sessions
*
In person
Video
Phone
Case Complexity
Mild
Moderate
Complex
Modality
Individual therapy
Couples counselling
Therapy for child/teen (16 or under)
Families
Clinical Exclusions
Please list any issues that you would not like referred to you (ex. OCD, gambling etc)
Upcoming Vacation Dates/Black out times
Please list dates/times where you will be away for the month and unable to see clients
Weekly availability
*
What's your typical weekly availability? Ex. Monday-Friday 9am-3pm
Thank you!