West Vancouver Clinic location:

Intake Form - West Vancouver Clinic

Please complete the following intake form to initiate the referral. Upon receipt, one of our clinic coordinators will contact you to discuss next steps. If you are concerned about the privacy or security of submitting your personal information online, please contact our clinic using the phone number above and ask to speak to one of our clinic coordinators about how ABLE may be able to support you. If you have not heard back from our office within two weeks of the date of submission, please give us a call at 604-922-3450. There may be a wait for assessment or intervention services. Please note that we are currently welcoming new clients for SLP Assessments and Individual Therapy. However, the ASD assessment waitlist at our West Van location remains CLOSED at this time but, we will redirect referrals to our Surrey and Richmond offices. Thank you for your patience and we look forward to supporting you.

Is there another email that you would like correspondence sent to as well (e.g., another parent)?
Address line, City, Province, Postal code
In the event we need to ask a teacher to participate in the assessment, please provide us their name and contact information (preferably email).
We are required to have consent from all legal guardians in order to provide services. If this is a concern, please let us know as soon as possible.
Required by the College of Psychologists of BC, the BC Association of Clinical Counsellors, and the College of Speech and Hearing Health Professionals of BC.
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 at the West Vancouver location.
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.
Please put "N/A" or equivalent, if there is no relevant history for this item or the next.
Providing this information will help us assign the appropriate clinician to support/assess your child.

* 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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