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Vancouver Couple & Family Institute

Secure Intake Form

If you are seeking our services, please take a few minutes to fill out the secure online intake form below. Once we receive it, the clinic Director(s) will review your information to determine which therapist will be a good match for you. Or if you have a preference to see a specific therapist, you may indicate that on your intake form. Please note in order for us to facilitate your request for services, we must receive an intake form. If you are not comfortable submitting your information online, you are welcome to call our office at 604-677-3286 during business hours and we can complete the intake form with you over the phone. 

We do our best to respond to all intakes within 48 hours of receiving them. However, all intake forms submitted or received after 5:00pm on Friday and over the weekend will be responded to on Monday; Tuesday, if Monday is a statutory holiday.

If you are only looking for our contact information then please go to the contact page.

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Contact info

Vancouver Couple & Family Institute
828 West 8th Ave, Suites 270 & 101
T: 604.677.3286 F: 604.677.3289
E: admin.vcfi@gmail.com

We gratefully acknowledge the financial support of the Province of British Columbia through the Ministry of Jobs, Economic Recovery and Innovation.

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