We may ask you to download, print, and fill out some of the following forms; this can save some time. Click on the number icon or “Download” link to download each form.

Info & Consent

3 pages – Establishes the relationship between Cornerstone and you. Gives our terms & conditions and your acceptance of them. Download

Intake Form – Adult

4 pages — For you, as an adult client, to describe yourself, your health, your family, and your place in the world. Download

Intake Form – Parent of a Child

4 pages — For you as parent or guardian to fill out on your child/teen’s behalf. Download

Intake Form – Teen

5 pages — For you, a teenager, to describe yourself, your health, your family, and your place in the world. Download

Application for a Fee Subsidy

1 page – If you have no extended health benefits and your gross household income is less than $100,000 per year, please fill this in and bring it to your first appointment. Download

Consent for a Minor to Attend Counselling

1 page – To be completed by your child’s other parents if you are not the sole legal guardian of your child. Download