New Client Intake Form

You can access the forms via these links Child or Adult.

In order to get the most out of our time together it would be helpful if you could complete as much of this form as you feel is relevant, before our first consultation e g. describing your symptoms, your medical and family history, information about your character and your timeline. Obviously, your timeline could be a huge piece of work! The parts I am most interested in are the times when your health has suffered (emotionally or physically), any medication prescribed (by GP or natural therapist) and any significant toxicity suffered, but please just do what you can.

The intake form is not essential to us working together, just useful!

Many find completing the form a useful and healing process. BUT if it feels too much or you cannot find the time, then please do not worry, just let me know.

Bank details

The last page of the form lists useful information for your session and my bank details for payment.

Send me a message

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