Contact – peacepsychotherapy

I have reviewed the approach, services, and fees in order to make an informed inquiry.

Name

First

Last

Client's Birth Date

Client Location

City

Province

Phone

What services are you interested in? Check all that apply.

1-Time 90 Minute Consultation

Individual Therapy (Adult)

Individual Therapy (Youth)

Family Therapy

Couples Therapy

DBT Skills Treatment Group (Young Adult)

DBT Skills Treatment Group (Youth)

Family Members' Seminar - Comfort Through Understanding: The Wisdom of DBT

Not Sure

How did you find out about our services?

Are you looking specifically for DBT?

Yes

Please provide more information:

Is there anything that you’d like us to know before setting up a free, brief initial phone call?

Are you currently attending high school?

Yes

Please Specify Any relevant information below.

Are you interested in requesting to work with a specific therapist?

Yes

Unsure

Which therapist?

Danny Firestone – (Not currently accepting new referrals) Hourly rate $240+HST.

Melanie Cheskes – hourly rate $200. No sliding scale available.

Erin Powley – hourly rate $180. Limited sliding scale may be available.

Leah Breslow – hourly rate $170+HST. Limited sliding scale may be available.

Tracy MacIntyre - hourly rate $150 +HST. Limited sliding scale may be available.

Are you looking for in-person or virtual services?

In-Person

Virtual

Either

Is your above preference for In person or virtual a requirement?

Yes

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