Request a therapist
Request a Therapist – How it Works in 3 Easy steps:
- Click on “Request A Therapist” and complete the Intake Form.
- Secure your spot by submitting a £50 deposit and receive login details to our practice management system.
- Log in to access your therapist’s schedule and book your initial session.
For any questions or further clarification, please don’t hesitate to ask on Contact Us!
Counselling Intake Form
Confidentiality Statement: The information you provide here is highly confidential and will not be disclosed to anyone else without your express prior consent.
Emergency Contact
Doctors Details
Other Background
Counselling History
Medications
£50 Deposit Payment
All payments are taken securely using Stripe.
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