Therapy Assessment Form

Please complete the therapy assessment form below.

Please note that therapy assessment forms are usually processed within 20 working days.

Part 1

Please specify your availablity to talk with an assessor. E.g. Monday morning and Thursday afternoon.

Part 2

Note: Student therapists can offer lower-cost counselling
Please specify times that would be best for you. E.g. Tuesday afternoons or Wednesday mornings.
Note: Student practitioners are often unavailable on Thursdays & Fridays.
Note: Therapy sessions are usually on a weekly basis.

If, prior to filling out the questionnaire, you would like to speak to an advisor then please telephone the Institute on 0044 (0)20 8202 4525

Application Submission

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