request appointment

Complete this form or call us to request an appointment at the Child Mind Institute. Our team will contact you to schedule your visit.

Locations

Vaughan
Markham
Toronto
Oakville

Working Hours

Mon - Sat: 09.00am - 07.00pm
Sunday: Holiday

Phone

202-555-0188

contact@example.com

I am

Please select one of the options below.

Requesting services for a child/dependent

Requesting services for self (must be 18 or older)

Referring a patient (as a provider)

This field is required.

First Name

Please enter your first name.

This field is required.

Last Name

Please enter your last name.

This field is required.

Please enter a valid email address.

This field is required.

Phone

Please enter your phone number with area code.

This field is required.

Send me the latest evidence-based resources.

Consent to SMS

I agree to be contacted by SMS text message.

Secondary Contact First Name

Please enter the first name for a secondary contact.

This field is required.

Secondary Contact Last Name

Please enter the last name for a secondary contact.

This field is required.

Secondary Contact Email

Please enter a valid email address for secondary contact.

This field is required.

Secondary Contact Phone

Please enter the phone number for secondary contact.

This field is required.

Child First Name

Please enter your child's first name.

This field is required.

Child Last Name

Please enter your child's last name.

This field is required.

Reason for Seeking Treatment

Please describe why you are seeking treatment.

This field is required.

Location

Please enter your city.

This field is required.

Frequently Asked Questions

Answers to common queries about our services and how we can assist you.

How can I request a quote for your services?

You can request a quote by filling out the contact form on our website, sending us an email, or giving us a call. We'll provide you with a detailed quote based on your requirements.

What are your business hours?

Our business hours are from 9:00 AM to 6:00 PM, Monday through Friday. We are closed on weekends and major holidays. However, you can still reach us through our website or email, and we'll get back to you on the next business day.

Do you offer customized solutions for unique projects?

Absolutely! We specialize in tailoring our services to meet the unique needs of each project. Whether you have specific requirements or a creative idea, we're here to work closely with you and develop a customized solution that fits your vision.

What is your response time for inquiries?

We are committed to prompt responses. You can expect to hear from us within 24-48 hours of submitting your inquiry. If your request is time-sensitive or urgent, please let us know, and we'll prioritize it accordingly.

Let's Create Together

Connect with us to explore how we can make your vision a reality. Join us in shaping the future.

Get Started

request-appointment

request appointment

Frequently Asked Questions

Let's Create Together