About this form—We are currently developing our full online booking system, but in the meantime this simple five step form allows you to tell us when and where you'd like to see a therapist. We aim to respond within two working hours of reading your message.
We've been experiencing some technical difficulties with our online contact forms recently. We are working to get this fixed, but in the meantime please email enquiries directly to firstname.lastname@example.org or call us on 0207 248 2975.
Step 1 of 5— Your preferred appointment times
Click on the white boxes to select one or more of our main periods. It helps if you can be as
flexible as possible, as that increases the chance of getting a speedy appointment.
Please note—There is often a waiting list for evening appointments as these are our most popular times.
Preferred Appointment Times
Step 2 of 5— Your preferred location
Now tell us which of our locations works best for you, if you have a preference.
Step 3 of 5— Your preferred form of therapy
People are often uncertain about this, so feel free to tick the box at the top.
Step 4 of 5— Let us know how we can get in touch with you
At the very least, you will need to provide an email address so we can confirm receipt of this form. There's no need to give us your phone number, but if you'd like us to call you, please let us know the best time to ring.
Step 5 of 5— Any additional thoughts and preferences
There's no need to write anything before you press send, but here you can let us know any other thoughts and preferences you may have. And if you like, you can also tell us a little about what brings you to see us.
Any additional thoughts and preferences