Enquiry Form
Thank you for your interest in working with me, I'm really glad you're here.
The next step is to complete this referral form. Once I've received it, I will be in touch to arrange a time to meet.
Therapy is a collaborative process, and it's important that you feel comfortable with how I work. The information you share here helps me understand your needs and check whether my style of therapy is the right space for you.
I'll ask for some basic contact details, your GP information, and an emergency contact, you might want to let them know you've shared their details with me.
I work weekly or biweekly with clients, at the same time/day each week.
Please note, I am unable to offer support around active addiction, psychosis and eating disorders.
Crisis Support
If you are in immediate danger or require urgent support, please call 999 or go to your local A&E.
You can also contact:
• Samaritans (116 123) - available 24/7
• Shout (text SHOUT to 85258) - free, confidential text support
If everything here feels right for you, go ahead and complete the form: I'd love to hear from you.