Counselling Booking Form

We suggest you use a private email address to receive confidential emails.
Please provide a phone number you can be reached on at your requested appointment time.
You must be 16 years or over to receive services.
This is a secure and confidential booking form, seen only by our Case Management Team.
Please confirm the phone number you will be reachable on (including country code if outside the UK)
Important Note re. Video Call in BSL: If you require a video call in BSL we will send you a separate email outlining the details of how to connect with your counsellor. As we rely on a 3rd party to deliver sessions in BSL in some instances your requested session time may not be available. All sessions are typically scheduled within 48 hours of your initial request and will be confirmed via email.