Therapy Enquiry All details submitted are kept stricly confidential and are never passed on to third parties. Client Contact Form Name* First Last Telephone*Email address* LocationNearest Town* County* Postcode* Please provide at least the first part of your London postcodeCurrent DifficultyPlease outline your current difficulty with a brief history*What therapy are you interested in?*PsychotherapyEMDR TherapyBody PsychotherapyCranio-sacral TherapyTrauma TherapyTinnitus Retraining TherapyIs there any other relevant information we need to know at this stage?The cost of therapy is £85.00 per session. Do you have the ability to pay for private therapy?* Yes No AvailabilityAre you available for day time therapy?* Yes No Are you available for evening therapy?* Yes No Type of therapy sought?* Face to face Online I am fine with either Δ
