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Counselling intake form

For new Counselling patients.

New client intake form

If you are new to our service, please begin by filling out the initial intake form below, which will be sent directly to our Mental Health Intake Team.

What next?

We will contact you directly. This may take a few days. We may then ask you further questions over the phone to ensure we are the correct service to help you.

If our service is appropriate, we will allocate a counsellor to you as soon as possible.

Please be aware, there may be a wait list for this service. If it is assessed that we are not suitable, we will guide you to another service.

Please note, we are not a crisis service.

If you have an emergency, call 000 immediately.