Therapy CarePsychotherapy & CounsellingYour first session on me

Starting counselling

Client registration

Ready to start counselling? Fill in this form whenever suits you, whether we’ve already spoken or this is the first time you’ve been in touch. It only takes a few minutes, and it helps me get everything ready for you.

Haven’t been in touch yet? That’s fine. When your form arrives I’ll contact you to arrange your first session. If you’d rather talk first or ask a question, get in touch here.

Your details

Step 1 of 4

About you

The basics, so I know how to reach you.

Date of birth I work with adults aged 18 and over.
How would you prefer me to get in touch? (optional)Tick all that are OK. Some people share a phone or prefer discretion. I'll only ever say it's Carey, never what it's about.

This form isn’t checked for urgent messages. If you need help right now, call NHS 111 and choose the mental health option, or Samaritans free on 116 123.

Need a hand, or prefer a paper copy? Call 07826 774307 or email carey@therapycare.co.uk and I’ll send one to bring along.

Or download the paper form (PDF) to print and fill in.