TATI Online Art Therapy Contact Form

First Name*

Last Name*

Email*

Confirm email*

Preferred Pronouns*

Please briefly share the general concerns you are looking for support with at the TATI Student Art Therapy Centre. Please keep your answer brief. (250 character max.)*

How many sessions you are interested in (if you’re still uncertain this can be further discussed with your student art therapist during an initial consult)*

Monday AvailabilityNote that all times are in EST

Tuesday AvailabilityNote that all times are in EST

Wednesday AvailabilityNote that all times are in EST

Thursday AvailabilityNote that all times are in EST

Friday AvailabilityNote that all times are in EST

Saturday AvailabilityNote that all times are in EST

Sunday AvailabilityNote that all times are in EST

Please select if you prefer to work with an art therapy student who identifies with any of the following:

BIPOC

2SLGBTQIA+

Our services can only be offered to residents of Canada (excluding Quebec). Please confirm if you are a resident of Canada who is not residing in Quebec.*

I confirm that I am residing in Canada and not in Quebec

We can work with individuals 16 years of age or older. Please confirm you are at least 16 years old.*

I confirm that I am 16 years of age or older.

How did you hear about our service? (Select all that apply)*

TATI website

Social media

Referral from a practitioner (e.g., medical professional, social worker, etc.)

From a family member or friend

Referral from a current student at TATI or the TATI Student Art Therapy Centre

Other

If you selected “referral from a current student at TATI or the TATI Student Art Therapy Centre,” please let us know the name of the referring student.

Consent for sharing information: Information collected in this form is kept strictly confidential and accessible only to the Centre administrator and the student art therapist you will be connected with.*

I consent to share the information I provided in this form for the TATI Student Art Therapy Centre to coordinate art therapy services with an art therapy student

Consent to be contacted by the TATI Student Art Therapy Centre (for the purposes of booking session only)*

I consent to be contacted via the email address I provided above by the TATI Student Art Therapy Centre to coordinate art therapy services