Contact Form for Service Providers

Please fill in the form below to contact us.

Name

First

Last

Title

Organization

Phone

Location (City, Neighbourhood)

I would like to refer a client for services with PEACE

Please provide relevant information about the referral. (Do not include any client-identifying information).

I would like to receive an in-house or online/Zoom presentation about PEACE services

Please let us know anything else you'd like us to know about what you're looking for from our presentation.

I would like to receive a DBT workshop, training or consultation from PEACE

Please let us know a little more about what you are looking for (i.e. a workshop about skills teachings, how to complete a comprehensive DBT assessment and treatment plan, creating a dialectical consultation team, clinical consultation or supervision, etc.)