Booking a Free Initial Assessment

We are able to offer a limited amount of subsidised sessions - to see if you qualify, complete the information form and return it to us, we will be in contact within 72hrs to inform you of the fees payable.

Initial Contact Form

Name:
Address:


Town/City:
County:
Post Code:
Telephone:
Mobile:
Message to be left on...:	Landline? Mobile?
Date of Birth:	dd mm yy
Relationship Status:
Occupation (Self):
Occupation (Partner):
Availability for Appointments:
Prefer to see:	This choice can only be offered to abuse or psychosexual clients due to the sensitive nature of the subject Male Female No Preference