Choose a date & time

Your information

Consent & client rights

Please open and read each form, then check the box to confirm you’ve read and agree to it. All eight must be checked before you can continue.

• Informed Consent for Counselling Services — I have read and agree to this form.
• Client Rights & Responsibilities (BC) — I have read and agree to this form.
• Privacy Policy & Consent to Collect Personal Information — I have read and agree to this form.
• Limits of Confidentiality Disclosure — I have read and agree to this form.
• Cancellation, No‑Show & Payment Authorization — I have read and agree to this form.
• Telehealth / Virtual Counselling Consent — I have read and agree to this form. (Not applicable if attending in person.)
• Consent to Release / Exchange Information — I have read and agree to this form.
• Fee Schedule & Session Policy — I have read and agree to this form.

Signature

Sign with your finger or mouse. By signing you confirm the information you provided is accurate and that you agree to all forms above.

Payment

You’ll be redirected to Stripe’s secure checkout to enter card details. Restored Perspective never sees or
stores your full card number. Your appointment is only permanently locked once payment succeeds.

You’re booked

Your appointment with Mika Sillanpää is confirmed. A confirmation and copies of your signed forms have been sent to your email.