Wellwood Counselling Name * First Name Last Name Email * Phone * (###) ### #### What is your preferred method of counselling sessions? * I prefer in-person sessions only. I prefer online sessions only. I am open to both online and in-person sessions. Are you planning on using an insurance provider? * Yes No If yes, please indicate which insurance provider you plan to use below What can we help with? * Please check all that apply Anxiety Depression EMDR Religious/Spiritual Concerns Trauma/PTSD Relationship Concerns Grief/Bereavement Life Transition Personal Growth Emotion-Focused Identity/Existential Crises Sexual Concerns Emotion Regulation Parenting Concerns Ethnic/Racial Identity Shame Anger Management Boundaries Please select the therapist(s) you are hoping to work with * Please note that some therapists are online only. Ben Bentum Jennifer Chow (Online only) Tim Wood Megan England (Currently not taking on new clients at this time) Janelle Lee Pong I am open to working with any therapist Can you please share the reason for your inquiry? Thank you!
