Download, print, and fill out the 2 forms below and bring to your appointment.
1. Client intake form
​2. Consent form
TRP Client Intake Form.pdf
File Size: 53 kb
File Type: pdf
Download File
TRP Consent Form.pdf
File Size: 43 kb
File Type: pdf
Download File
Tim Rieck Psychotherapy
25 Dupont Street, Unit 1 
Waterloo, Ontario N2J 2G8
Entrance is at the back and parking is available at the back or on the street.
The office is located directly behind Seven Shore Café (Corner of Regina and Dupont).
There is a waiting room.
Tim Rieck
Registered Psychotherapist
​© 2020 Tim Rieck - Psychotherapy
519-635-3371
tr33@tmw.com
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