Intake Forms
To make the most of your first session, please complete the intake form before arriving to the clinic.
Instructions
- Please use the respective "fill-out online" link that corresponds with your therapy format (Individual Therapy, Couples Therapy...)
- Submit your intake form. Your personal information will be kept confidential in the process.
- Your information will be visible only to your assigned therapist
For parents
If you would like to provide us with some information about your child, please complete the parent intake form.
Please note that individuals aged 14 and older must be present for all sessions booked in their name, and that parents cannot attend on their behalf. Therapy sessions will not proceed if you attend such sessions without your child, and you will be responsible for paying an administrative fee equivalent to the full price of the missed session.
To view these forms you must have a PDF file viewer such as Adobe PDF Reader, installed on your computer. If you don’t have it visit http://get.adobe.com/reader/ download it.
Individual Therapy (ages 14+)
Individuals ages 14+ seeking individual therapy.
Fill-Out Online | Downloadable Version
Couples Therapy
Individuals seeking couples therapy (fill out individually).
Fill-Out Online | Downloadable Version
Child Therapy (ages 0-13)
Parents, on behalf of children (ages 0-13) seeking therapy.
Fill-Out Online | Downloadable Version
Parent Intake Form
Parents who wish to provide additional information about their child (optional).
Family Therapy
Individuals seeking family therapy (fill out individually).
After-hours appointments
Due to the secure nature of the buildings, a key card is required to go beyond the main floor of the building before 8 AM and after 5:30 PM. If your appointment is during this restricted access period, please call your psychologist when you arrive and/or wait on the main floor of the building until your appointment time.
Plan your itinerary
Montreal, McGill Metro Location
Blake Psychology Montreal, McGill Metro clinic is located at 2001 Boulevard Robert-Bourassa, on the 17th floor, at the corner of Maisonneuve Street, above the McGill Metro Station.
Driving directions
To access the indoor parking, take Robert-Bourassa Bvld. North and turn right on President Kennedy Avenue. The entrance of the parking lot will be on your right, between Robert-Bourassa Bvld. and Union Avenue.
Public transportation
Take the green line to McGill Station and use the Robert-Bourassa exit. The entrance of the building will be on your left when you exit the McGill metro station. Many bus lines stop at McGill, including lines 15 Sainte-Catherine, 24 Sherbrooke, 61 Wellington, 125 Ontario, 168 Cité-du-havre and the 420 Express from NDG.
Pointe-Claire, Centre Brunswick
Blake Psychology Pointe-Claire, Centre Brunswick clinic, situated in the Brunswick Medical Center, is located at 955 boul. St-Jean, Suite 305, H9R 5K3, north of Highway 40 and east of St-Jean Boulevard. Please take the elevators on the right, the clinic is located on the 3rd floor of the white building, in suite 305. There is a Starbucks on the bottom floor. To ensure that you know where to go, please verify the directions on a computer or other map prior to your appointment.
Driving directions
From Highway 40, take exit 52 toward Saint-Jean Boulevard North. Once on Saint-Jean Boulevard North, drive past Brunswick Bvld. The Brunswick Medical Center will be on your right.
Public transportation
The clinic is a 2 minute walk from bus routes 200, 201, 202, 204, 485, and a 5-minute walk from the Fairview Pointe Claire shopping mall.
Checking in with Reception
A receptionist is usually onsite from 8:30 am – 8 pm Monday to Thursday and from 8:30 am – 4 pm on Fridays; please check in when you arrive. If no receptionist is onsite when you arrive, please wait for your therapist to greet you at the reception desk.
Learn more about the Pointe-Claire, Centre Brunswick Location...
Montreal, Bonaventure Metro Location
Blake Psychology Montreal, Bonaventure Metro clinic is located at 1250 Boulevard René-Lévesque West, H3B 4W8, on the 22nd floor (just next to the Bell Center).
Driving directions
Access to the indoor parking is located on Stanley Street, between René-Lévesque and Av. des Canadiens de Montréal.
Public transportation
Take the orange line to the Bonaventure Station and follow the directions to the 1250 René-Lévesque underground entrance. Many bus lines stop at the Bonaventure terminus. Please consult RTM website for more information https://rtm.quebec/en/transit-planner/intermodal-installations/centre-ville-terminus.
Learn more about the Downtown Montreal, Bonaventure Metro Location
Pointe-Claire, West-Island Location
Blake Psychology Pointe-Claire, West-Island is located at 6500 Trans-Canada Highway, Suite 400 in Pointe-Claire, south of Highway 40 and East of St-Jean Boulevard.
Driving directions
From Highway 40, take exit 52 toward Saint-Jean Boulevard South. Once on Saint-Jean Boulevard South take the first left onto Holiday Avenue and take the first left again onto rue de La Triade. From the Highway 20, take exit 50 toward Saint-Jean Boulevard North. Drive for about 2 kilometers on Saint-Jean Boulevard North, then turn right onto Holiday Avenue and take the first left onto rue de La Triade. The clinic is located on the 4th floor of the white building at the end of Rue De la Triade.
Public transportation
The clinic is a 2 minute walk from bus routes 200, 201, 202, 204, 485, and a 15-minute walk from the Fairview Pointe Claire shopping mall.