PLEASE NOTE: IT WILL TAKE A COUPLE OF MINUTES TO COMPLETE THIS FORM. IF YOU WOULD PREFER TO MAKE AN APPOINTMENT OVER THE PHONE, CALL US AT (514) 931-5629 ext. 1. ALL DATA BELOW WILL BE TREATED IN THE STRICTEST CONFIDENCE AND IS ENCRYPTED BY SSL FOR SECURITY. UPON COMPLETION OF THE FORM YOU WILL RECEIVE A CONFIRMATION EMAIL.
ONCE YOU HAVE COMPLETED & SUBMITTED THE FORM BELOW, OUR INTAKE WORKER WILL CONTACT YOU BY TELEPHONE WITHIN 72 HOURS TO FINALIZE YOUR REGISTRATION. PLEASE NOTE THAT UPON BEING CONTACTED BY THE INTAKE WORKER, YOU WILL BE ASKED FOR PAYMENT DETAILS & CHARGED A ONE TIME FEE OF $40.00 ($30.00 if unemployed) THAT COVERS THE ADMINISTRATIVE COSTS FOR OPENING YOUR FILE .
THE ARGYLE INSTITUTE WILL DISCUSS PAYMENT OPTIONS FOR THERAPY AT YOUR FIRST MEETING. WE OFFER VERY AFFORDABLE RATES, TAILORED TO YOUR BUDGET.
