Musician Client Contact Page

Individual Intake Form

  • Please fill out this form before your first session.
Individual Intake Form

Questions?

Wondering how I can help you?
Complete this questionnaire.

All information I will receive will remain confidential to me. I will not identify you or what you say to anyone but I may use the collective answers to help me write and expand on building a service to help musicians.

Questionnaire

To visit Tom Burton Counselling.
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Address

7718 104th  Street Suite 201

Edmonton, Alberta T6E 4C5