Let’s work together Name * First Name Last Name Email * Phone (###) ### #### Session Type * In-Person Online Video Either - Online/In-Person Location & Counsellor * Salt Spring Island - Terry Manz Vancouver - Adam Manz Demographic Child (5 - 12) Youth (13 - 18) Adult (19+) Couple Family What else should we know? We encourage you to include any preferred appointment times, information or questions about insurance, a brief summary of why you are seeking counselling, and whether you are inquiring on behalf of a Child/Youth. How did you hear about us? Google Search Psychology Today Online Directory Family/Friend Another Counsellor Other Thank you!
