Contact — Hannah Zimmering Counselling

Please note: I am currently not accepting clients for individual therapy. I have a waitlist for relationship counselling.

To set up your first appointment, please fill out the form bellow. After I receive your form, I will email you information about booking your first appointment.

An optional 15-minute discovery call is offered, free of charge, providing an opportunity for us to meet and for you to assess if I am a good fit for your needs. If you prefer to schedule a discovery call before booking your first appointment, please indicate your preference on the form.

PLEASE NOTE: If you have not heard back from me within a 2-3 days of submitting your form please check your Junkmail folder to ensure my email did not end up there, or email me directly at info@hannahzimmeringcounselling.ca

Name

First Name

Last Name

Email

Phone

(###)

###

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Checkbox

Please select one option bellow

I would like to book a discovery call

I am ready to book my first appointment

Message

Please share whatever feels comfortable for you about yourself and your reasons for seeking counselling. Please indicate if this is for relationship or individual counselling. There's no pressure to disclose more than you are comfortable in this initial intake form.

Please read and confirm you understand.

It has come to my attention that at times people submit this form and it never gets through to my email. If you do not hear from me after 3 days of submitting this form please contact me again over email: info@hannahzimmeringcounselling.ca or phone (867) 335-0551. Thank you.

I understand.

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