What Happens to my Intake Form?
Online Intake Forms
please fill out an intake form.
Fraser River Counselling
How It Works
*You will need an email address to complete the intake form online. If you do not have one, phone the intake worker to complete an intake over the phone. Also, if you would rather complete an intake over the phone, contact the intake worker.
It is advisable to submit your online intake in a private, secure place. Using a Public Wi-Fi Network does not protect your privacy and confidentiality. Choose to do so at your own risk.
If you would like to receive counselling services,
2 Child/Youth Counselling Intake Form(18 years of age and younger)