APPOINTMENT BOOKING FORM

Are you ready to book an appointment? Then complete the quick Appointment Booking Form below. Thank you!

If you have decided that you would like to access some one-to-one help and support, such as therapy, counselling and psychotherapy etc., and you are ready to go ahead with making an appointment, please complete the online Appointment Booking Form below.

 

If you are looking to access Group Support (e.g. Support Groups) or Professional Services, please get in touch via the Contact page here. If you are an organisation making a Referral, please see the Referral Form here.

We will always respond to your email. If you haven't had a reply within 2-3 working days (excluding weekends), please also check your spam folder as sometimes emails with links or attachments go there.

Appointment Booking Form

Please ensure you complete all sections marked * as the form will not send if these sections are not completed.  A message will appear below when your form has been sent to us successfully. We will ALWAYS reply to your email, so if you don't get a reply within 2-3 working days, please check your spam folder or resend your message. Thank you.

 
 
 
 
 
 
 
 
 
 
 
Yes
No
 
 
Yes
No
 
Yes
No
Awaiting Treatment
 
 
Yes
No
 
 
 
 
 
 
 
 
Morning
Afternoon
Evening
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Any Day/Time
Other (please specify below **)
 
Alexandra (Lead/Senior Accredited Psychotherapist and Clinical Director)
Amanda (Advanced Therapist and Counsellor)
Jackie (Therapist and Counsellor)
Jenny (Dietitian)
Liz (Advanced and Accredited Therapist and Counsellor)
Natalia (Therapist, Counsellor and Coach)
Sue (Therapist and Counsellor)
I have no therapist preference and can work with any therapist
 
 
Face-to-face
Online
I am happy to access either face-to-face or online appointments
 
Yes
No
Maybe (please specify below) **
 
 
 
 
Yes
No
 
 
Email
Text
Both
 
Yes
 
 
Email
Text
Other (Please specify below) **