Contact

Get in touch

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Basic Information

Name*

Email*

Date of Birth*

Phone

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Therapy

What type of therapy are you interested in?*

1:1 Online Therapy

Group Therapy

What are your main struggles?

Anxiety & Overwhelm

Binge Eating & Disordered Eating

Neurodivergence (ADHD, Autism, AuDHD)

PMDD

Bereavement & Loss

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Therapy

Have you done therapy before?

Yes

What's your main goal for therapy? What would you like to gain?

Preferred Session Time

Weekday Mornings

Weekday Afternoons

Weekend

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Finally ...

How did you hear about me?

Any other questions or concerns

I understand that this is an enquiry form and does not guarantee immediate availability.

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Horário de abertura

Segundas 9h -19h(Fechado aos feriados)Terças-feiras 9h-17hQuartas-feiras 9h-18h

Contacte

Horário de abertura

Segundas 9h -19h(Fechado aos feriados)Terças-feiras 9h-17hQuartas-feiras 9h-18h

Contacte