Contact

Juvonno client portal sign up/login

To add yourself to our waiting list, please fill out the contact form below or visit our practice management client portal by clicking the icon above.

Get in Touch

Name *

Legal name

The name we should put on receipts/use for insurance

Insurance info

If applicable

Pronouns *

Type Pronouns you

Date of birth *

Email address *

Phone number *

Address *

Preferred language *

Type of therapy *

Location *

Availability *

ie Monday mornings, Tuesday evenings, etc.

Presenting issues

Include a brief summary of your reason(s) for seeking therapy. If you are seeking couples/relational/family therapy, please have each person fill out a form.

How did you hear about us?

Diverse Roots Therapy is located in Punamu’kwati’jk. We live and work on the unceded and ancestral land of the Mi’kmaq people.

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