Youth’s Counselling Inquiry – Ann Davis Transition Society

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Please contact me about your Youth Counselling. I understand my information will be given to a Counsellor who will conduct a short phone interview and then my name is placed on the wait list until a counsellor becomes available.

Youth Counselling Inquiry

I'm interested in Youth Counselling (Age 12-19). I understand a Counsellor will call me and conduct a phone interview and then I will be placed on a wait list.

*
Youth First Name Youth Last Name
Email*
Phone Number:*
Who's Number is This?*
- Personal Phone
- Parent's Phone
Can we leave a voicemail?*
- Yes
- No
Age of Youth
Parent Information
If we are to contact you through your Parent's Phone, please let us know their name. We will only call if necessary. Your time with the Counsellor is kept confidential.
Parent First Name Parent Last Name
Comments, questions, or concerns...*
Comments
This field is for validation purposes and should be left unchanged.

Contact Info

Address: 9046 Young Rd, Chilliwack, BC V2P 4R6
ADTS Office: 604-792-2760
24/7 Help: 604-792-3116 or 604-391-1993
Text Help: 604-819-3557
Fax: 604-792-2875
Email: info@anndavis.org

Ann Davis Transition Society has earned a Three-Year Accreditation from CARF for the following Programs and Services: Community Housing, Personal Supports Services, Services Coordination, Outpatient Treatment: Mental Health (Adults), Outpatient Treatment: Mental Health (Children and Adolescents), Prevention: Mental Health (Adults), Prevention: Mental Health (Children and Adolescents).

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Youth Counselling Inquiry

Contact Info

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