Book a therapy session

Please kindly use the form below to enquire about booking a therapy session with us. This is our preferred way of receiving referrals, as it helps us understand your needs and respond as appropriately as possible.

Using the form enables us to:
Match you with the most suitable clinician in our team who has availability
Let you know if there is currently a waitlist
Advise if other services may be more appropriate for the needs you have described

A member of our admin team will respond as soon as possible. The more flexibility you are able to offer in terms of availability, the more quickly we are usually able to offer an appointment.

If completing the form feels overwhelming, you are very welcome to email or call us, or complete our brief contact form, and we will be happy to assist you.

Please note: we are not a crisis service. Please do not complete this form if you are experiencing a mental health crisis. For crisis support, please contact the Mental Health Crisis Line (0300 456 8342), the Samaritans (116 123), or your GP. If you cannot keep yourself safe, please call 999 or attend your nearest A&E.

 

Self Referral Form

Client Information

Who is the Client?
Client Name
Client Name
First
Last
Your partner’s name (for Couples Therapy only)
Your partner's name (for Couples Therapy only)
First
Last
Gender (Client)
Is the Client based in the United Kingdom?