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NEW CLIENT INFORMATION FORM

New Leaf Counselling & Psychotherapy Client Information

Please complete and submit after you have scheduled your first session with Catherine and prior to that session.

Emergency Contact Information:

Billing:

You may choose to pay via e-transfer or credit card. Your credit card is kept on file as the CANCELLATION POLICY is that sessions cancelled/rescheduled with less than 48 hours notice or scheduled and not attended will be billed to your credit card at the full session fee.

Thanks for submitting!

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