Jewish Family Services Edmonton                       Help, with Heart, for one and all.

Counselling Request Form

Your Name:

Contact Information

Address: Municipality:

Postal Code:

Phone Number (1): Is it okay to leave a message for you here?

Phone Number (2): Is it okay to leave a message for you here?

Other calling instructions:

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A Therapist will call you for a confidential conversation about your concerns and to plan next steps, usually within 2 or 3 days but up to 10 days during busy times.

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