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Reflections Counselling and Psychotherapy Services

Re-discover, Restore, Enhance Quality of Life. /

Redécouvrir, rétablir, améliorer la qualité de vie.


Si vous êtes intérésser dans nos services, n'hésitez pas de remplir le formulaire ci-dessous.

Veuillez noter que le premier contact peut être entamées par ce formulaire ou par courriel, mais, plus tard, vous pourrez être contacté par téléphone pour finir le processus d'admission.

May we leave a detailed message on your answering machine?*
Have you used our services before?*
Gender *
Gender: How do you identify?*
Languages Spoken (check all that apply)*
What type of psychotherapy are you seeking? (check all that apply)*
In submitting this form I am aware that what I discuss with the therapist is confidential between myself, the therapist and the Reflections Counselling and Psychotherapy Services team with the exception that if the therapist has reason to believe that I am at risk of seriously harming myself or another person, a child is at risk of being harmed, a health professional is harassing or abusing me, or the file is subpoenaed, the therapist would be required by law to make a report in order to protect me and/or the individuals involved. *
In submitting this form, I am also aware that internet transmission cannot be guaranteed to be secure or error-free, as information could be intercepted, corrupted, lost, destroyed, arrive late or incomplete, or contain viruses. By interacting with Reflections Counselling and Psychotherapy Services (ReflectionsCPS) via submission of this form, I acknowledge that I understand the risks of e-communication and agree to indemnify ReflectionsCPS from liability resulting from these risks. If the information that I am providing is of a sensitive nature, I am aware that I may, alternatively, choose to contact Reflections by telephone.*
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Thank you for your interest in our services. We will get back to you as soon as possible.


Téléphone: [905-493-4300]

Télécopieur: [905-493-4302]

Courriel: [[email protected]]


Sur rendez vous uniquement

Lun-mer: 8:00am-4:00pm

Jeu: 7:30am-5:30pm

Ven: Fermé

Sam matin, sur demande : 9:00am-


Dim: Fermé


[101 Mary Street W, Suite 303,

Whitby, On, Canada, L1N 2R4]