Fraser River Counselling
If you would like to receive counselling services,
Online Intake Forms
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.
2 Child/Youth Counselling Intake Form(18 years of age and younger)
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.
please fill out an intake form.
What Happens to my Intake Form?