Richmond Clinic location:

Intake Form - Richmond Clinic

Please complete the following intake form to initiate a referral and/or to join our waitlist. Upon receipt, one of our clinic coordinators will contact you to discuss next steps. Please make sure to check your email (including your junk folder) when waiting for a response. Please allow 2-3 business days to get a response. Please note that there is a waitlist for all assessments and availability is limited at this time in our Richmond location.

We apologize for the inconvenience, but our waitlist for adult ASD assessments is currently closed. 

Is there another email that you would like correspondence sent to as well (e.g. another parent)?
(e.g. second parent's email)
Address line, City, Province, Postal code
e.g. Someone who is appointed by the court who has the authority to make health care decisions on behalf of the child
We are required to have consent from all legal guardians in order to provide services for children. If this is a concern, please let us know as soon as possible.
Please note that ABLE Clinic is not able to provide psychological services if guardianship is in active dispute and all parties do not consent to services.
Please note, we do not do direct billing for extended health benefits.
Supervised practitioners often are available with shorter wait times and most bill a lower hourly rate than registered professionals which can reduce the cost of services. Supervised practitioners are not yet registered with the College of Psychologists of BC and are closely supervised by Registered Psychologists here at ABLE Clinic. You will not be charged for the cost of this supervision.
e.g. challenging or concerning behaviour
e.g. teacher's concern, pediatrician suggestion, and their concerns
(e.g. Developmental Pediatrics, Speech-Language Pathology, Psychiatry/other Mental Health, Hearing/Audiology, Occupational Therapy, Physical Therapy, Behaviour Therapy/ABA, Education, Psychologist/Counselling etc.
Providing this information will help us assign the appropriate clinician to support you
*If your requested service is for psychoeducational assessment only, there is a waitlist open in Surrey with a similar wait time. Please check the box if you are interested in having your intake shared.

Thank you for completing the intake form. Please make sure to check your email (including your junk folder) for a confirmation that we received your intake. Please allow 2-3 business days. To proceed with services, please reply back to that email to confirm you agree with the next steps as discussed.

* Please note, we cannot guarantee the confidentiality of information transmitted through e-mail including the intake form.  Please be aware of this limitation when contacting us.

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