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 the Psychoeducational and ASD assessments at our West Van location are currently CLOSED. Thank you for your patience and we look forward to supporting you.

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).
Required by the College of Psychologists of BC, the BC association of Clinical Counsellors, and the BC Speech Language Pathology Association.
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.
Please note that ABLE Clinic is not equipped to provide psychological services if guardianship is in active dispute.
Please note, we do not do direct billing at the West Vancouver location.

* 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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