BOOKINGS

If you are experiencing a mental health crisis or mental health emergency, please see the Urgent Help section for more information on how to access timely support.

PRIVACY NOTICE

For more information, please review the full Privacy Policy.

This form collects the following personal information:

Your full name
Your email address
Information about your booking and your booking preferences
Information about your interaction with the service
If you are a new or existing 'client'
Any content you share in your message
If you are aged 18 years and over
Technical information

YOUR CONTACT DETAILS

First name*

Last name*

Email*

YOUR BOOKING REQUEST

NEW CLIENTS

What would you like to do?

Request more information

Book a 'Discovery VideoCall'

EXISTING CLIENTS

What would you like to do?

I'd like to reschedule a booking

I'd like to cancel a booking

LEAVE A MESSAGE

Please do not share any confidential information about your wellbeing on this form. Once your booking request has been received I'll contact you on the email address provided within 14 days to arrange or rearrange an appointment (where appropriate).

You can use the space below if you'd like to leave a message about your booking.