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Book a Consultation

To help me understand what has led you to therapy, please complete our self-referral form below. From this, I will contact you to book in a free initial consultation.

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If you are completing the form on behalf of someone else, please complete the details below in their name, and explain further in the text boxes.

Date of Birth
Day
Month
Year
Are you seeking therapy for:
Yourself
Someone else
How long have you been experiencing these difficulties?
Less than 1 month
1–6 months
6 months–1 year
Over 1 year
How did you hear about me?
Psychology Today
Via insurance comapany
Google
Family/Friends
Other
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Please note: I do not offer an emergency crisis service.

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For urgent mental health support, contact NHS 111 option 2.​

 

24/7 support is also available by calling Samaritans on 116 123 or via SHOUT text crisis service on 85258.​

 

If your need is an emergency, please call 999, or go to your local Accident & Emergency (A&E) department.

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