Booking an appointment

Appointments can be booked by calling the office at 519-513-2441 or by emailing info@drspere.com.  A physician’s referral is not required for services, although it may be needed to access your extended health benefits.  Check with your workplace or insurance company for more information.

Once you have contacted the office, you can expect to receive a reply within 1-2 business days.

Initial Consultation

Your first appointment will be a 90 minute consultation appointment.  During this appointment, the clinician will meet with parents and/or child (age dependent) to gather information about their concerns, a developmental history, and a sense of what the goals of services will be.  At the end of this appointment, the clinician will provide their recommendations of what the appropriate course of service might look like.

Subsequent Appointments

Therapy sessions are an hour in length.  The clinician may touch base with the parents at the beginning of the session to see if there are any updates they should be aware of, and then the majority of the session is spent one-on-one with the child/teen.  In general, the information shared with the clinician is kept confidential and the child/teen must give their clinician permission to share information with parents.  The clinician will make recommendations about what information they think is important for parents to know and parents will be kept updated on the progress that is being made.  There are instances where clinicians are required and allowed to break confidentiality.  Please see the section on ‘confidentiality’ for more information.  The limits of confidentiality will be explained in depth during the first session.

Assessment testing sessions range from 1-2 hours depending on the age and attention span of the child.


Information shared with or given to your clinician is kept confidential and is not shared with third parties (e.g., teachers) without signed permission.  There are situations where an individual’s right to confidentiality is limited by legal or ethical obligations according to legislation and as regulated by the College of Psychologists of Ontario.

The limits to confidentiality include the following:

  1. The client displays a clear intent to harm themselves or someone else
  2. There is reason to suspect that a child (under the age of 16) is or may be in need of protection.  The Children’s Aid Society must be contacted if there is any reason to suspect that a child has been physically harmed, sexually abused, emotionally abused, or chronically neglected.
  3. A client reveals that they have been sexually abused by a regulated health professional
  4. A court of law subpoenas a client’s records


Dr. Spere and Associates is committed to collecting, using, and disclosing your personal information responsibly, as per Privacy legislation.  Your clinician will go over the privacy policy with you in the first session.

Your clinician collects only information that is relevant to your care.  Your information will not be shared with anyone without written consent.  Client files are kept secure and client storage, retention, and destruction complies with privacy legislation and with the regulations set forth by the College of Psychologists.  Child psychology files are kept for 10 years past the child’s 18th birthday, at which point the file is securely destroyed.  For individuals over the age of 18, files are kept for 10 years following their last appointment.