If you wish to be added to our waiting list for an appointment to see one of our counsellors you can either contact us be calling the number above or by completing the form below. 

Once your form has been processed we will send you confirmation of receipt by email. 

Appointments will be offered by telephone. If you are not available at the time of the call a message will be left unless you have indicated otherwise. As you will appreciate we do have a waiting list and can therefore only give you 24 hours to respond to a message after which time the appointment will be offered to the next person on the list. 

We will keep you on our list until we have successfully offered you an appointment or received your request to be removed.

You can get information on our current waiting times by contacting our office on 01383 626064. Evening appointments are always in more demand than daytime appointments so please consider this when indicating your available times.

Unfortunately our service does not have the flexibility to offer counselling to those who work a shift pattern or are not able to commit to the same day and time each week

Please answer all the questions.

Are you available on the same day and time each week?

Yes- please continue with form

No- please follow these links for details of alternative agencies that may be able to help you:

Contact Preferences
Do you have a disability?
Are you over the age of 18?
Are you over 18?