Tim Rieck - Psychotherapy
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Download, print, and fill out the 2 forms below and bring to your appointment.
1. Client intake form
​2. Consent form
TRP In-Take Form.pdf
File Size: 224 kb
File Type: pdf
Download File

TRP Consent Form.pdf
File Size: 89 kb
File Type: pdf
Download File

Tim Rieck Psychotherapy
210-410 Conestogo Rd
Waterloo, ON  N2L 4E2


Tim Rieck, PhD, RP
​Registered Psychotherapist
​© 2022 Tim Rieck - Psychotherapy
Email to make an appointment
dr.riecktim@gmail.com
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  • Home
  • Services
  • Fees/Policies
  • FAQs
  • Forms
  • Contact