In order to help us more easily determine the right service and counselor for you, and to simplify the intake process, please fill in all the fields that apply to you. Your personal information will be kept secure and will not be used outside of Human-Nature Counselling.

If you would rather fill this out manually, you can call our office at (250) 885-0275 to arrange an intake appointment by phone. If you have any questions or concerns, please email [email protected]

Your information is confidential and will not be shared.