Appointment Request

Please complete the form below to schedule an appointment. We will try our best to accommodate your request and will be in touch ASAP.

“The best way out is always through.”

Robert Frost

    By submitting this form via this web portal, you acknowledge and accept that risks of communicating your health information via this unencrypted email and electronic messaging and wish to continue despite those risks. By clicking "Yes, I want to submit this form" you agree to hold Myriad Counselling harmless for unauthorized use, disclosure, or access of your protected health information sent via this electronic means.