New client inquiry - Root & Bud Counselling

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If you are interested in working with Shannon, please complete the following form and Shannon will get back to you with next steps.

Please note, Shannon is currently taking a waitlist for new clients seeking in-person sessions. Mid-week virtual sessions are available.

Name

Email

Phone

Is it ok to leave a voice mail at this number?
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Best way to reach you
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Referred by:

Type of counselling:

Preferred format:
In-person counsellingVirtual counselling

Availability:
TuesdayWednesdayThursdayFridaySaturday

Message
(Please do not include sensitive or confidential information)

Privacy Policy
I collect your personal information for the purpose of appointment scheduling and counselling only. I will not share your personal information with anyone, except with your written consent or when required based on the limits of confidentiality. Counselling records are encrypted and stored on Canadian servers in JaneApp, a PIPEDA compliant platform.

Territorial Acknowledgment
I most gratefully acknowledge that the land and sea on which I live, work, and play has been cared for by the W̱SÁNEĆ peoples for time immemorial and that their ongoing relationship with the land and sea continues to this day. I am committed to my own ongoing learning and acts of reconciliation.

Services
About
Resources
Contact
Book Now
- Existing client booking
- New client inquiry

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