Thank you for your interest in becoming a client at Clinique PsySanté. We are happy to support you!


At Clinique PsySanté, all our practitioners are highly skilled. To best serve you, we invite you to fill out a personalized Assessment Questionnaire. Your information will serve us to prepare a customized intervention plan for you. This will save you time and money as well as accelerate your therapeutic process.

Here are the steps to follow:

1) Complete the Appointment Request Form below. After receiving your information, we will send you an email with the link to your personalized assessment questionnaire. 

2) Fill out your personalized assessment questionnaire.

3) Send an email to info@psysante.com to inform us on your submission.

Then, your information will be carefully reviewed by the clinical director and you will be assigned to the right practitioner that will best match your needs. We will then contact you by email or phone to set up your first appointment. Please allow us 2-3 business days to review your file and contact you. We look forward to connecting with you!


Please note that all your information will remain strictly confidential.


Appointment Request Form


Alternatively, you may also follow the next steps to fill out your assessment questionnaire as a pdf fillable file or print it out:

1. Click on the Questionnaire(s) below that best suits your situation.

2. Save the questionnaire on your Desktop and close the questionnaire on your internet browser.

3. Go to the questionnaire on your desktop and start filling it out. The questionnaires are fillable PDFs so you can fill them out online

4. Make sure all the information you enter is saved. Save your filled-out questionnaire as YourName.pdf 

5. Email the saved PDF Questionnaire on your Desktop to info@psysante.com
Note: You may also print the questionnaire, scan, and send it to info@psysante.com OR fax it to 514-542-6889. It is also possible to bring your questionnaire directly to the clinic (12047 Boul. Gouin Ouest).



Screen shot 2014-06-06 at 12.44.42 PM Adult Assessment Questionnaire

Screen shot 2014-06-06 at 12.44.42 PM Adult Wellness Questionnaire 

Screen shot 2014-06-06 at 12.44.42 PM Child Assessment Questionnaire

Screen shot 2014-06-06 at 12.44.42 PM  Adolescent Assessment Questionnaire

Screen shot 2014-06-06 at 12.44.42 PM  Couples Assessment Questionnaire

Screen shot 2014-06-06 at 12.44.42 PM  Mind Body Wellness Questionnaire