Appointment Request This form is for current clients only. If you are new to Christian Counselling Ottawa, please fill in the Intake Questionnaire. Name* First Last Phone*Email* Who is your counsellor? (If you have not been assigned a counsellor yet by a member of our intake team, please follow the link to the intake questionnaire at the top of this page and we will be happy to assign you to someone.)*Please choose oneI don't knowCallistusCarolyneElizabethHeatherCorianderJoanneMichaelSandraMarie-RoseJenName not listedPlease identify the location at which you are requesting an appointment.*Please choose oneMain Office - 63 Glencoe StGloucester - Greenbelt Baptist ChurchKanata - Kanata Baptist ChurchDundas County - Williamsburg Christian Reformed ChurchPlease indicate your requested appointment day and time. (This appointment is NOT GUARANTEED. Your counsellor will contact you to let you know if the appointment time is available.)*Your counsellor will confirm this appointment time with you; if you do not receive confirmation of this appointment, please call your counsellor.Any concerns or extra notes?