Inquiry Form

Boreal Wellness Centres
Intake Form Image

We are pleased that you are interested in the individual counselling, group therapy programs and support groups at Boreal Wellness Centres. We look forward to exploring how our team might be of assistance for mental health issues relating to depressed mood, anxiety, and trauma.

To help us determine how Boreal Wellness Centres can be most helpful, we ask that you complete the brief inquiry form below. Once received, we will send you a secure link to our intake form.

Please feel free to refer yourself or a family member directly. Outside agencies or individuals may also refer to our practice by calling us at (778) 725-0714 ext. 109 or emailing us


By submitting the above form, you agree that we may communicate with you about our services or mental health topics. Your contact information will not be shared, sold or distributed for any other purpose.  In accordance with applicable laws and regulations, you are able to opt-out from marketing communications at any time by using the “unsubscribe” link in any e-mails you receive from us. For more information, please see our Privacy Policy.