APPOINTMENT BOOKING FORM

Are you ready to book an appointment? Then complete the easy peasy 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, want more information about anything or have any questions please get in touch via the Contact page here. If you are an organisation making a Make a Referral Form , please see the Referral Form here.


We will respond to emails within 2-3 working days (excluding weekends). We reply to ALL emails, so if you haven't received a reply within that time, please check your spam folder or re-send your email.


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 re-send your email. Thank you.

 
 
 
 
 
 
 
 
 
 
Yes
No
 
 
Yes
No
Awaiting Treatment
 
 
Yes
No
 
 
 
 
 
CBT (Cognitive Behavioural Psychotherapy)
Integrative Psychotherapy
General/Humanistic/Person-Centred Counselling
Existential/Exploratory Therapy and Counselling
Rewind Trauma Therapy
Systemic Therapy (currently unavailable)
Clinical Hypnotherapy
Solution Focused Brief Therapy
Guided CBT Self-Help (with a therapist) (currently unavailable)
Stress Management Therapy/Coaching
Coaching
Couples Counselling and Relationship Therapy
Group Therapy (subject to 5-6 clients attending every 2 weeks)
Online Therapy and Counselling
Email Therapy and Counselling (currently unavailable)
Single Session Therapy
Pre-Therapy Consultation
Meal Support (we hope to introduce this in 2022)
Carers and Supporters Therapy and Counselling
Not Sure
Any approach is suitable
Other (please specify below**)
Discounted Appointments with a Trainee Therapist
 
 
Morning
Afternoon
Evening
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Any Day/Time
Other (please specify below**)
 
 
Face-to-face/In-Person
Online
I am happy to access either face-to-face or online appointments
 
Yes
No
Maybe (please specify below**)
 
 
 
 
Yes
No
 
Search Engine (e.g. Google, Yahoo etc.)
Word-of-Mouth
Beat Listing
Other professional (e.g. GP, therapist etc.)
Family/Friend
Workplace
Counselling Directory
Recommendation
Social Media (e.g. Facebook, Blogger, Twitter, Linkedin etc.)
Other (please specify below**)
 
 
Email
Text
Both
 
Yes
 
Email
Text
Both
Other (please specify**)