New Client Intake Form

Please fill out the form on the right. Your answers will help us get a better idea of how to help you best.

Please read the consent form at the bottom of this page. You will be asked if you have read it during your first session.

If you have any questions or concerns please do not hesitate to contact us at the addresses below.

Danka Ducic, psychologist, is responsible for the protection of personal information in accordance with law 25. If you have any questions about confidentiality, please do not hesitate to contact her.

danka.ducic.psych@gmail.com
(514) 487-6074