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Mental Health Counselling Request

Callback within 1 business day Working hours 9AM-5PM Secure Square payment

Form progress may be saved securely so our team can help if you do not finish this request. Card payments are processed securely by Square — TelePlus Care never sees your full card number.

Mental Health Counselling Request Form

Tell us a little about what you need. Our team calls you back to match you with a Canadian-licensed provider and book your first session.

Not for emergencies. If you are in immediate danger or thinking about ending your life, call or text 9-8-8 (Suicide Crisis Helpline, 24/7) or call 911. This form is for planned counselling only.

Confidential. What you write here is shared only with the clinical team matching you to a provider. Sessions are 50-60 minutes over secure video.

Patient Details

First Name Last Name Phone Please enter a valid phone number. Format: (000) 000-0000. Email Street Address City Province / Territory Postal / Zip Code Date of Birth Active Alberta Health Card

Counselling is free with an active Alberta Health Card — the visit is billed to AHCIP. Without one, the fee is $80.00 CAD per session.

What You Would Like Support With

What would you like support with? 0/150

Important Information

Our team reviews your request and calls you back within one business day to match you with a Canadian-licensed provider and book your first session. Please ensure your phone number and email are correct. Working hours: 9AM to 5PM.

Counselling Session Payment

Mental Health Counselling Online

Total $80.00 CAD

Mental Health Counselling Online

A 50-60 minute session over secure video with a Canadian-licensed provider.

Counselling is free for Alberta patients with an active health card. Everyone else pays $80.00 CAD per session. The total updates once you answer the health-card question.

$80.00 CAD

Payment

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Refund, Cancellation, and Rescheduling Policy

After your visit

If you have visited us online or in-clinic, there is no refund. The visit itself is the service you paid for, and the fee fully covers that consultation once it has taken place.

Refund requests before the visit

For approved refunds before the visit has taken place, $20 will be deducted for administration and payment gateway charges.

Changes or cancellations

To schedule, reschedule, or cancel your appointment, please call 587-442-4898 or email booking@telepluscare.com. Please tell us as early as possible so we can respect our doctors' time.

Missed appointments

Please avoid last-minute cancellations or rescheduling requests. Missed appointments or no-shows without prior notice may result in a $40-$60 fee before rebooking.