Contact QUEER+ Therapy

If you are interested in setting up an appointment for a one-on-one, couples or family counselling session, please fill out the form below, and I’ll reach out to you within 24 hours (or sooner).

Please note: If you are in crisis or require immediate assistance, please call 911 or visit your nearest emergency room.

Please complete the form below

Preferred (Chosen) Name

Pronouns (they/them - she/her - he/him)

Given Name(s)

First Name

Last Name

Email Address

Phone #

(###)

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I'm reaching out because:

(coming out, gender identity, depression, stress, anxiety, abuse)

Message

Confidentiality

Please check if it is okay to leave a voicemail or send an email if I am unable to reach you directly

Voicemail