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Janine Ruddy & Associates

Virtual Psychotherapy

Book A Free Consultation

Let's Connect

Client Intake Form

Please fill out the following form to help us understand your mental health needs so that we can match you with one of our mental health professionals or click the button below to book directly with your therapist of choice.

First Name

Email Address

Last Name

Date of Birth

How did you hear about us?

What brings you to therapy and who would you like to work with?

What factors are most important to you when seleting a therapist? * Required

Authenticity

Training & Credentials

Years of Experience

Approach/Modality

Non-judgemental Attitude

Virtual Appointment

In person Appointment

Affordability

They challenge me

Homework

Flexibility

Initials

Today's Date

Thanks for submitting!

Hours of Operation

Monday to Friday: 8:00 am- 7:00 pm

Saturday: Closed

Sunday: Closed

*Please note that our clinicians work a variety of hours, and the hours above reflect when emails/phone calls will be answered.

Contact Information

Phone: 647.492.6375

Email: info@janineruddy.com

STRENGTH IN MIND • POWER IN HEALING

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