CAREER COUNSELLINGLet’s Change How and Why You Work

Face to Face Counselling

Online Counselling

Confident stylish european mature middle aged woman standing at workplace. Stylish older senior businesswoman, 60s gray-haired lady executive leader manager looking at camera in office, portrait.

SERVICESMake Work Work for You

Take ownership of your career, your life, and your happiness-right now.

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In Person Counselling

Leverage agile frameworks to provide a robust synopsis for high level overviews.

Workplace Solutions

Leverage agile frameworks to provide a robust synopsis for high level overviews.

Online Counselling

Leverage agile frameworks to provide a robust synopsis for high level overviews.

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OUR TEAM & LOCATIONSA Large Network of Career Coaches

15+

INTERNATIONAL LOCATIONS

With over 15 clinics across the country, we can offer you an appointment in the best location convenient to our clients.

170+

COACHERS IN OUR NETWORK

With a team of experienced and fully qualified mental health professionals we deliver quality care and support.

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GENERAL TOPICSWe Can Help You With

Job Transitions

All of us want to feel loved and when we feel disconnected or stuck in a relationship it colors our want to when we feel entire lookout.

Unlocking Your Potential

This is one of the diseases that we don’t like to talk about. You or your loved one needn’t suffer alone—please, the diseases that we let us help.

Setting Career Goals

Learn an array of new tools to release yourself from the grip of anxiety or worry that may be holding you back from enjoying life.

Your Behavioral Style

Bring to the table win-win survival strategies to ensure proactive domination. At the end of the day, going forward, a new cloud solution.

Managing Change

Efficiently unleash cross-media information without cross-media value. Quickly maximize timely deliverables for real-time schemas.

Success and Balance

Globally incubate standards compliant channels before scalable benefits. Quickly disseminate superior deliverables whereas web enabled.

TESTIMONIALSTheir Own Words

Bring WHO you are to WHAT you do - that phrase embodies my belief that an individual’s internal qualities are their external advantage. My goal is to help you discover your greatest ally.

Lenore Mewton
Career Coach

Within only a few sessions, Robert has already been a great resource for my partner and I. He is a great active listener and his recommendations are empowering us to shift to positive approach.

Hanna Jouns
Project Manager

Leverage agile frameworks to provide a robust synopsis for high level overviews. Iterative approaches to corporate strategy foster collaborative thinking to further the overall value.

Nancy Briere
Graphic Designer

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WE ACCEPTOur Client’s Companies

CONTACT USGet in Touch

Online Form

FIND US AT

Main Office

714 Woodbine Ave, Toronto

CALL US ON

Mobile Phone

020 8003 4154

WHITE US

A Message

counseling@lycka.com

Patient Forms

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PATIENT REGISTRATION FORM

PATIENT INFORMATION: PLEASE FILL OUT COMPLETELY

LAST NAME

FIRST NAME

MIDDLE NAME

DATE OF BIRTH

SEX M (Male)F (Female)

Patient Social Security No.

ADDRESS INFORMATION

STREET ADDRESS

P.O. BOX ADDRESS

CITY

STATE

ZIP CODE

CONTACT INFORMATION

HOME PHONE

EVENING PHONE

CELL PHONE

DEMOGRAPHIC INFORMATION

ETHNICITY HispanicNon-Hispanic

RACE

GUARDIAN INFORMATION

NAME OF LEGAL GUARDIAN(S)

ADDRESS OF LEGAL GUARDIAN(S)

ACCOUNT RESPONSIBILITY

PERSON RESPONSIBLE FOR PATIENT ACCOUNT

PHONE NUMBER

IN CASE OF EMERGENCY

FIRST TO BE NOTIFIED - NAME

PHONE NUMBER

MEDICATION CONSENTS

PHARMACY NAME

PHARMACY PHONE NUMBER

EMPLOYER/INSURANCE INFORMATION

PRIMARY INSURANCE

Insurance Subscriber's Name

Social Security No.

Subscriber's Date of Birth

Employer's Name

Relationship to Patient

SECONDARY INSURANCE (If Applicable)

Secondary Insurance Subscriber's Name

Social Security No.

Subscriber's Date of Birth

Employer's Name

Relationship to Patient

REFERRAL INFORMATION

PATIENT REFERRED BY

Health Information Release Authorization

Communication between behavioral health providers and your primary care physician (PCP) is important to ensure that you receive comprehensive and quality health care. This form will allow Harsha Outpatient Services, LLC to share protected health information (PHI) with your Primary Care Physician (PCP). This information will not be released without your signed authorization.

This PHI may include, but is not limited to, diagnosis, treatment plan, progress notes and medication prescribed.

Patient Name (please print)

Patient Date of Birth

PCP Phone

PCP Name

PCP Address

City

State

ZIP Code

Patient Rights

You can end this authorization (permission to use or disclose information) at any time by filling out a new authorization form or by contacting the Practice Manager at (812) 234-4899. If you make a request to end this authorization, it will not include information that has already been used or disclosed based on your previous permission. For more information about this and other rights, please see the applicable Notice of Privacy Practices. You cannot be required to sign this form as a condition of treatment, payment, enrollment or eligibility for benefits. Information that is disclosed as a result of this Authorization Form may be re-disclosed by the recipient and no longer protected by law. You do not have to agree to this request to use or disclose your information.

Patient Authorization

I understand that I may revoke this consent at any time except to the extent that action has been taken in reliance upon it and that in any event this consent shall expire at the termination of treatment or I have read and understand the above information and hereby identify my Date of Expiration wishes regarding my protected health information:

Date of Expiration (Optional)

If left blank, authorization expires at termination of treatment

PLEASE CHECK ONE OF THE FOLLOWING:

YES, I authorize Harsha Outpatient Services, LLC to release any applicable mental health/substance abuse information to my primary care physician whose name and address appear above.

NO, I DO NOT give my authorization to release any information to my primary care physician.

Digital Signature

Digital Signature * Please sign in the box below using your mouse or touchscreen

Or type your name as signature (if digital signature doesn't work):

No signature yet. Please sign above.

By signing above, you acknowledge that this is your legal electronic signature. Your signature will be saved as a digital image.

Relationship to patient (if applicable)

e.g., Parent, Guardian

Date Signed

Notice to recipient of information:

This information has been disclosed to you from records whose confidentiality may be protected by federal or state law. If these records are protected under federal regulations on confidentiality of alcohol and drug abuse patient records, the federal law (42 U.S.C. 290dd-2) and regulations (42 C.F.R. Part 2) prohibit you from making any further disclosure of this information unless further disclosure is expressly permitted by the written consent of the person to whom it pertains or as otherwise permitted by 42 C.F.R. Part 2. A general authorization for the release of medical or other information is NOT sufficient for this purpose. The federal rules restrict any use of the information to criminally investigate or prosecute any alcohol or drug abuse patient.

Patient Stories

"

TMS has done more for me in the last 6 months than anything or anyone has done in 11 years of treatment. It brought changes that I never thought possible, and I feel human again. I'm here, I'm present, I'm no longer lost in that void that felt so permanent. I couldn't have had a better tech either. She is going to help so many people! Harsha Outpatient is amazing, I absolutely will recommend. Thank you endlessly.

Crimson

TMS Patient

"

TMS impacted my life positively. It has been something to look forward to when I get up. TMS has exceeded my expectations. My tech has been kind, patient, and respectful of all my pitfalls. I have no suggestions. I'd recommend TMS to others in my shoes.

Alfred

TMS Patient

"

TMS has healed my irritability and I do not stress as much over the little things. My technican went above what I expected. I would describe TMS therapy as a life changing experience with no pain. I appreciated the down to earth welcoming, and no judgement attitudes. Highly likely to recommend to others!

Krystal

TMS Patient

"

I have been suffering from depression since I was about 12 years old. I have tried several medications where none have helped. Now that I have accomplished TMS, I have been recommending it for everyone unable to treat depression. I am glad that I have learned to control my moods, relationships, and that my depression has gotten better.

Cassandra

TMS Patient