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Initial Consultation

Please complete the below deatils:

First Name

Last Name

Email

Dialing code

Phone

Please indicate your preferred times for weekly psychotherapy

Briefly describe what you hope for from therapy and any other information you feel might be important to know.

Do you agree I can contact you to confirm a consultation using the above details?

Do you want an onward referal if I do not have availabilty at your specified times?

Thank you for your submission! I endevour to respond within 24 hours

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parm.therapy@gmail.com

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