Services

Psychotherapy Groups & Camps ADHD Tutoring Educational Counselling Executive Functioning Coaching Assessments Educator Workshops Family System Supports

Blog

Contact Us

Consent Form Confidentiality Form Intake Form Client/Therapist Login

Register With Us 1 866 503 7454

Consent Form

Positive Kids consent for services

Please complete this form so intake has your consent information before services begin. If you have questions about services, confidentiality, fees, scheduling, or what this form means, contact intake before submitting.

Informed consent and confidentiality

Positive Kids provides counselling, psychotherapy, educational, coaching, group, camp, parent, and family-system supports depending on the service selected. Information shared with Positive Kids is treated with care and confidentiality.

Confidentiality may have limits where there is risk of harm, abuse or neglect concerns, legal requirements, or written consent to share information.
Parents and guardians can ask questions about services, provider fit, scheduling, fees, and records at any time.
Positive Kids may contact you using the email or phone number provided to confirm intake details and next steps.
This form is not for emergencies. If there is an urgent safety concern, call emergency services or go to the nearest emergency department.

Questions? Email intake@positivekids.ca or call 1 866 503 7454.

Complete consent form

Website

Client / child name Classroom / teacher Service or program Parent / guardian name Parent / guardian email Parent / guardian phone Emergency contact Special instructions, allergies, medical, learning, or access needs Do you consent to Positive Kids contacting you and providing the service or program discussed with intake? Typed parent / guardian signature Date consent signed Time consent signed

Ready to choose the next step?

Contact Positive Kids

Helping children, teens, parents, and schools find the right support through therapy, groups, learning services, and family system care.

Psychotherapy

Individual counselling
Dyadic counselling
Interpersonal skills
Intrapersonal skills

Groups

Social skills groups
Teen groups
Group counselling
Summer camps
Specialized groups

Education

ADHD Tutoring
Educational Counselling
Executive Functioning Coaching
Assessments
Educator Workshops

Family

Parent Online Course
Family counselling
Perinatal counselling
Parent workshops
Contact us

Positive Kids Psychotherapy, groups, educational services, and family system supports.

Ask Intake

Send your question and the email address where our intake team can respond.

Website Your question Email for response

Request a Time

Choose your preferred day and time window. Intake will confirm whether that time is available and offer the closest option if it is not.

Website

Parent/caregiver name Email for response Phone number Child age Service of interest First choice date First choice time window Second choice date Second choice time window Anything intake should know?

Where should I begin?

Answer a few questions and this guide will suggest a starting point on the Positive Kids site. This is not a diagnosis; intake can confirm the best fit.

What are you mainly looking for help with?

Emotions, anxiety, behaviour, confidence, or self-regulation Friendship, social skills, peer practice, or camps School, ADHD, focus, tutoring, learning, or executive functioning Parenting, family relationships, perinatal support, or caregiver guidance Assessment, learning profile, diagnosis questions, or next steps I am not sure yet

Who needs support?

Child Teen Parent or caregiver School or educator

What format sounds most helpful right now?

One-to-one support Group or camp Parent or family support Virtual support Not sure

Camp Registration

Send us your camp registration request. Intake will confirm availability, fit, and next steps by email.

Website Parent/guardian name Email for response Phone number Child name Child age Camp or program interest Preferred weeks, days, or time window Anything intake should know?

Groups & Camps Registration

Select the group or camp you are interested in. Social skills groups are 4 weeks, 1.5 hours per week, and $460. Intake will confirm fit, availability, schedule, and next steps.

Website Parent/guardian name Email for response Phone number Child name Child age Group or camp interest

Payment after registration After you send this request, the page will show the matching payment link so payment can be connected to this registration.

Preferred days, times, or location Goals or concerns

Parental Consent Form

Client's Name *

First

Last

Child Classroom / Teacher

Parent Name *

First

Last

Parent Email *

Parent Phone *

Emergency Contact Number *

Special Instructions

Date / Time *

Date

Time

Parental Consent for Child *

Yes, I provide consent.
No, I do not provide consent.

Terms and Conditions

A deposit is required to ensure your accepted participation in the Social Skills Group with Positive Kids.
Withdrawal of your participation must be submitted in writing to Positive Kids at intake@positivekids.ca 5 days before the start of the group in order to receive a refund of your deposit.
A cancellation fee of $250 will be applied if Participant withdraws from the program after the start of the group.

Name *

Email *

Phone

Comment or Message