Mental Health Services for Children and Youth (under 18) and their Families Book an appointment for mental health support. You will be able to talk to a therapist over the phone or through online video. There is no cost to this service and everything will be confidential. Please fill in the questions below and hit 'submit'. Contact info and details Child/Youth First Name Session requested by: I am a parent/caregiver and am requesting this appointment for my child I am a child/youth and am requesting this appointment for myself Age of child or youth 0-6 7-12 13-17 How would you like us to contact you to confirm your appointment time? * - Select -PhoneEmail Phone number where you can be reached: OK to leave voicemail? Yes No Email where you can be reached: Scheduling Information Appointments are with a therapist. They take about 1 hour to 1.5 hours. What type of appointment would you like? phone appointment online video/virtual appointment What day and time would you like your appointment? Appointments are 1 hour to 1.5 hours. Tuesday morning (8:30 am to 12 noon) Wednesday afternoon (1 to 3:30 pm) Wednesday evening (3:30 to 6:00 pm) Thursday morning (8:30 am to 12 pm) These times don't work for me Suggest time: Confirming your Appointment Thank you for filling in this information. You will get an email or phone call (depending on what you picked), back from us in 1-2 business days. If you do not hear back from us, please check your junk mail folder. You can also call us at 905-546-2424 x3678 or email us at [email protected] If you are having a Mental Health Emergency, please call 911 or go to your local Hospital. If your family/child is in a Crisis Situation, please contact COAST at 905-972-8338. Consent to Provision of Services If you would like review our Consent to Provision of Services before your appointment, please download the form here. Privacy Information and Notice of Collection Our privacy practices and Notice of Collection are described in the Child and Adolescent Services Privacy Statement (PDF, 79 KB). If you have questions about Public Health Services’ information practices or if you would like to raise a concern, please contact: Public Health Services Privacy Officer 110 King Street West, 2nd floor, Hamilton, ON L8P 4S6 905-546-2424 ext. 2946 [email protected] Return to Child & Adolescent Services Leave this field blank Date modified: 2020-07-20
