Documents & Forms

Once completed, the forms can be sent to info@wellnesswithbatool.com or faxed to +1-437-800-3892.

You can also bring them to your next scheduled appointment.

Referral Form

If you're a physician or doctor referring a patient to our clinic, please complete this form and fax it to the number provided.

*Please note, clients can self-refer for our psychotherapy services.

Intake Form

Completing an intake form allows us to better understand your current needs and therapy goals.

You can complete this form directly on your JaneApp profile. If you prefer, you can also fill it out manually by downloading it here.

Disclosure Form

Your privacy is important to us, a signed consent form is required for us to share your personal information with others .

Existing clients needing support letters, summaries, or records from other organizations should complete this form.

Have a question? Send us a message!

Use the form below to send us a message. You may also call or email anytime.

info@wellnesswithbatool.com

(647) 722-8665

3905 Major Mackenzie Drive W, Unit 111, Vaughan, Ontario L4H 4J9

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