Individual Referral

Name *

First Name

Last Name

Date of birth *

MM

DD

YYYY

Phone *

(###)

###

####

What fee bracket would you be happy to invest? *

I offer therapy sessions on a sliding scale between £80-£100 per session, with clients choosing the fee that best suits their financial circumstances. For those seeking fees outside this range, I also work with qualified associate therapists who offer different pricing structures.

£60-£70 per session

£70-£80 per session

£80-£90 per session

£90-£100 per session

Please select your preferred therapy delivery method *

In person

Online

Telephone

Hybrid