Secure Contact Form

If you are in crisis

If this is an emergency, please go to your local hospital emergency department right away or call:

1-800-SUICIDE
9-1-1

SEND A MESSAGE TO OUR PRIVATE INBOX AND OUR ADMIN WILL REPLY AS SOON AS POSSIBLE

Please click the service options you are requesting

Individual CBT-Insomnia sessions

Add your name to the wait list. (Keep you eye on your email - and spam folder)

Self-Paced Online Course

Now available! Self-register on the Course page

6-weekly sessions (75-min) online Group Insomnia Program

Add your name to the wait list. (Keep you eye on your email - and spam folder)

Other

If you're interested in the 6-week group program, please indicate times and days you are likely available - or not.

General enquiry:

Your name

How do you prefer we contact you? (We will do our best to reply with your preferred method, but please note that it's not always possible)

Encrypted email

Recommended, but more likely to end up in Spam folder, so check there for a reply

Regular unencrypted email

This method is not secure or encrypted and cannot protect your privacy

Regular unencrypted text message

This method is not secure or encrypted and cannot protect your privacy

Phone call

Phone Number

Is it okay for us to leave you a voice message?

Yes No

Email address [Please be careful to provide your correct email address. If there's a typo, we won't be able to reply!]

Where did you learn about this service?

I am aware that secure encrypted emails often end up in spam and have added lorraine@insomnia-help.net to my contacts to reduce this possibility. I also know to check spam/junk folder.

I am aware that administrative staff may receive and respond to this message

I understand that while the online course is available worldwide, personal therapy is only available in certain parts of Canada.

Locations available:

British Columbia
Saskatchewan
Manitoba
Newfoundland and Labrador
Yukon
Northwest Territories
Nunavut

Your information will be encrypted.

Secure Contact Form

If you are in crisis

If you are in crisis

Insomnia Help Canada