Client Forms

Preparing for Your First Session with Care and Intention.

A Gentle Beginning

Welcome. I am honoured to walk beside you as you begin this journey toward healing, clarity, and emotional wellness. Whether you are navigating anxiety, grief, trauma, relationship stress, or the challenges of neurodivergence, especially ADHD, therapy is a space where you can feel seen, supported, and safe.

Before we meet, there are two forms I kindly ask you to complete. These are not just paperwork — they are part of how I begin to understand your story, your needs, and how I can best support you. Everything you share is held with care, confidentiality, and respect.

What You'll Need

To help us begin with clarity and trust, please complete the following Therapy Agreement Form.

This form outlines the foundation of our therapeutic relationship, including informed consent, confidentiality, payment for services, and my cancellation and rescheduling policy. It ensures that our work together is grounded in transparency and mutual understanding.

Please bring a signed copy to your first session.

Therapy Agreement Form

The foundation of our therapeutic relationship

Download

Intake Forms

Depending on the type of support you are seeking, please complete one of the following intake forms.

These forms help me understand your emotional landscape — whether you are struggling with emotional regulation, negative thought patterns, relational tension, or simply feeling stuck. They allow us to begin with intention and compassion.

Individual Intake Form

For one-on-one therapy

Download

Child & Family Intake Form

For sessions involving children, adolescents, or family dynamics

Download

Couples Intake Form

For relationship or couples therapy

Download

Therapy Goals & Outcomes

Through therapy at Emotional Wellness Therapy, clients often experience:

A deeper sense of emotional safety and self-understanding
Relief from anxiety, overwhelm, and chronic stress
Greater capacity for emotional regulation and resilience
Healing from grief, trauma, and attachment wounds
Stronger, more connected relationships
Clarity around personal values, boundaries, and needs
Increased self-compassion and confidence
Support for navigating neurodivergence with affirmation and care
Tools to shift unhelpful patterns and create meaningful change
A renewed sense of calm, connection, and possibility

A Note from Me

I know that filling out forms can feel clinical — but here, they are simply a gentle doorway. They help me begin to understand your hopes, your pain, and your path forward. You are not just a name on a page — you are a whole person, and I am here to meet you with warmth, steadiness, and care.

If anything feels unclear or overwhelming, please do not hesitate to reach out. I am here to support you every step of the way.

Warmly,

Cheryl

Relationship Counseling
Mental Health and Well-Being
Individuals, Couples and Families

Let’s Begin Together

If you are ready to take the next step — or even if you are just curious — I invite you to reach out.

Reach Out Today