Name * Age * Email * Phone * Address * Services Interested In* PsychotherapyNeurofeedbackBoth Psychotherapy & NeurofeedbackPsychological Assessment Extended Benefit Coverage* PsychologistSocial WorkerRegistered PsychotherapistAll of the AboveNo Extended Coverage Clinician Preference* NoneDr. Michelle PresniakAllison WoodSharon KaderDr. Danielle BouchardJennifer CieslakErin HamiltonChelsea WhyteKristen FennellWendy Lange-FariaTina WilstonJenn McNultySandy BothamHeather BennettMelanie HerweyerFrancois LamarcheAmanda Dzuba Preferred Ottawa Location* DowntownKanata How did you hear about us Gender Presenting Problem
