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Forms to Download for Children/Adolescents

 Please consider the following forms when you are going to attend your first appointment at our clinic. Please scan your filled-in forms and send the forms back to us for review by the therapist before the first session. 

Email: hallesailerclinic@gmail.com

PHQ-9 - Questionnaire for Chlidren (pdf)Download
SCARED Form for Children (pdf)Download
SHEEHAN Form for Children (pdf)Download
Child Intake Form (pdf)Download

Forms to Download for Adults

Please consider the following forms when you are going to attend your first appointment at our clinic.

Please scan your filled-in forms and send the forms back to us for review by the therapist before the first session. 

Email: hallesailerclinic@gmail.com

GAD-7 for Adults (pdf)Download
PHQ-9 - Questionnaire for Adults (pdf)Download
Adult Intake Form (pdf)Download


Cancellation policy:  A notice of three business days is required for cancellation and schedule rearrangements, or the full therapy fee amount will be charged.   -  



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Clinic for Psychotherapy - 416 737 8775

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