Contact information for the waitlist
MindShift CBT Groups for men (18+) is offered in partnership with Canadian Men's Health Foundation and is available to men in Alberta, British Columbia, Manitoba, New Brunswick, Newfoundland and Labrador, Northwest Territories, Nova Scotia, Nunavut, Prince Edward Island, Saskatchewan, and the Yukon.
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Email *
First Name *
Last Name *
Contact Number *
Can we leave a message identifying ourselves as Anxiety Canada? *
City *
Province and Territories *
I am interested in this Group for *
Age Category *
These start times work best for me *
These days work best for me *
Monday
Tuesday
Wednesday
Thursday
Row 1
I require financial assistance for the 8 sessions ($440 ) and will be responsible for the assessment fee of $50. *
How did you hear about MindShift CBT Groups? *

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Anxiety Canada Association is committed to limiting its collection, use, disclosure, and retention of personal information and protecting that information using reasonable safeguards in accordance with applicable law,  including the British Columbia Personal Information Protection Act (PIPA) and the Personal Information Privacy and Electronic Documents Act (PIPEDA). 

Consent

I agree to receive information from Anxiety Canada about MindShift CBT Groups and can unsubscribe from this waitlist at any time by emailing mindshiftgroups@anxietycanada.com


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Consent

I agree to receive information from Canadian Men’s Health Foundation about additional online counselling services, and can unsubscribe from this list at any time. 


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