Secure Waitlist Registration Form

First name

Last name

Email address

Phone number

Electronic Communications Consent (CASL) I consent to Toriven™ Health contacting me by email, phone, or text message regarding my place on the waitlist, intake opening, and related service updates. I understand I may withdraw this consent at any time by emailing privacy@torivenhealth.ca or using the unsubscribe link in any electronic message.

If you wish to withdraw your consent, access or correct your information, or have questions about our privacy practices, please contact us at privacy@torivenhealth.ca

Please review our Privacy Policy before submitting this form: https://torivenhealth.com/privacy-policy

I acknowledge that I have been provided access to the Toriven™ Health Privacy Policy and have read and understood it. I consent to Toriven™ Health collecting, using, storing, and disclosing my information in accordance with the Privacy Policy.

No Therapeutic Relationship: Visiting this website, contacting us, submitting a waitlist form, or following us on social media does not establish a therapeutic, clinical, or professional relationship of any kind. A therapeutic relationship is only formed after formal intake, clinical acceptance, and completion of required consent documentation.

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