Keyboard and Mouse

Couples Intake Form

Prior to your first appointment, please complete the following Intake Form.

The information will be submitted electronically using encryption and will remain confidential, and not be shared with anyone without your written consent.

Abma Counselling Services 

Couples CPR Intake Form

To assist me in helping you, please fill out this form as fully and openly as possible. Your answers will help plan a course of couples therapy that is most suitable for you and your partner. If certain questions do not apply to you or you do not want to share this information, please leave them blank.


Abma Counselling Services

4056 Dorchester Rd

Niagara Falls, ON  L2E 6M9

​© 2021 Abma Counselling in Niagara

We work with adults, teens and children to help strengthen relationships and improve lives. 

Get in touch

(905) 321-0550 (Phone or Text)

(905) 248-1234 (Fax)

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Abma Counselling Services has been providing counselling services in Niagara since 2008. What began as a solo practice by Steve Abma has grown into a group practice of ten experienced therapists providing treatment for a wide variety of issues, including depression, anxiety, ADD, relationships, marriage, addictions & stress. We are a team of dedicated professionals, passionate about helping individuals, couples and families strengthen their relationships and improve their lives. Counselling, Psychotherapy, Psychologist Services for Niagara Falls, St. Catharines, Fonthill, St. David's, Niagara-on-the-Lake, Virgil, Fort Erie, Ridgeway, Beamsville, Jordan, Vineland, Grimsby, Thorold and Welland.

​© Steve Abma. Published by Steve Abma.