MEN THERAPY TORONTO | Counselling Services for Men

  • Therapist: Eric Pierni, RP (Q), CSAT (Cand.)
  • Certifications:  Registered Psychotherapist (#005403), CSAT (Certified Sex Addiction Therapist) Cand.
  • Fee: $120/55 minute session (cash/cheque) | $125 (if paid by credit card)
  • Insurance: Covered by insurance plans which accept treatment by a Registered Psychotherapist (RP)
  • Contact Info.:  647-677-8281 (No Texts) |
  • Vacation & Training Updates:  I will be away & not in the office during the following dates.
    • November 2-5 , 2017 (Training)
    • November 8-12 , 2017 (Training)

Appointment Booking Form

Your privacy is extremely important.  All information provided is kept strictly confidential.

You will receive an email within 24hrs of completing this appointment booking form.  Please check your spam/junk filter if you do not receive an email within 24hrs.

First Name (required)

Last Name (required)

Your Email (required)

Your Primary Telephone Number (required)

May we leave a confidential message on your primary phone voice mail?: (required)
 Yes No

Date of Birth: (required)

Address (please include unit or suite number) (required)

City (required)

Postal Code (required)

What are you looking for help or support with (i.e. addiction, relationship issues, anxiety, etc.)?:

If you decide to book an appointment for therapy which day or days would work best for you (please select all that apply)?:
 Monday Tuesday Wednesday Thursday Friday Saturday (Only 10am-2pm)

What time of day would work best for you to come in if you decided to book an appointment (please select all that would apply)?:
 9am - 11am (morning) 12pm - 4pm (afternoon) 5pm - 7pm (evening-weekdays only)

Our computer system sends out automated email or text reminders 24hrs before your appointment. How would you like to receive these automated appointment reminders?:

 Email Reminder Text Reminder Both Email & Text Reminder

How did you hear about Men Therapy Toronto? If you did an online search can you kindly indicate what you searched for? Example: Google: 'Sex Addiction Toronto'

May we add your email address to our newsletter list for occasional updates, news and resources regarding men's mental health?

 Yes No, Thank You.