Counselling Inquiry Form for New Clients in Langley, BC Get Started Today! Name * First Name Last Name Preferred Contact Method * Phone Email Phone * (###) ### #### Email * What days of the week work best for you? * Monday Tuesday Wednesday Thursday Friday Saturday In person, online/virtual, or telephone call * In person Virtual Phone Counsellor Teodora, MSW Natasha, RCC Cherise, RCC (VIRTUAL ONLY) No Preference What type of counselling services are you seeking? * Individual Counselling Couples/Relationship Counselling Family Counselling Youth Counselling Thank you for reaching out! We’ve received your inquiry and will get back to you within 24-48 hours to discuss your counselling needs. Your well-being is important to us, and we’re here to support you every step of the way. We look forward to connecting with you soon.