Drop us a line or leave us a message on our confidential voicemail and we will be in touch shortly

(289) 427-0144

info@serenityharbour.net

Burlington

300-3310 South Service Road, Burlington, L7N 3M6

Mississauga

802 Southdown Rd, Mississauga, ON L5J 2Y4

Fill out the new client intake form

Name

First Name

Last Name

Date of Birth

MM

DD

YYYY

Email

By providing your email, you also consent that we may get back to you at this address.

Phone

By providing your phone, you agree that we may call you back to follow up on your request.

(###)

###

####

How can we help?

Briefly describe what brings you to therapy

How did you hear about us?

Let’s work together