Booking Enquiry
-
Your Full Name:
-
Your Phone Number:
-
Age of Client:
-
Your Availability on the Days I’m Offering Therapy: (see above)
-
Who the session is for? i.e. Yourself or your Teen/Child?
-
Why You Are Seeking Therapy? (If for a child or teen, please also include their age)
-
If the person seeking therapy is currently receiving support from any of the following? If so, please include a brief summary of the support.
-
GP
-
Community Mental Health
-
Community Addictions
-
Crisis Team
-
CAMHS
-
Psychiatrist or Psychologist
-
Other (please describe)
-
-
Preferred Session Format: Face-to-Face (Ballymena) or Online via Zoom
You can review session pricing here: Pricing
Please note: Therapy isn't a 'crisis' service and so if you are in need of urgent mental health care, please reach out to your GP or Casualty Department.
