Make a Booking Enquiry

You can use this form to make a booking enquiry for our services. All information provided is confidential, in line our privacy policy, which you can access here.

  • Emergency Contact *

What service would you like to access? *

Please select from either (1) EAP services, (2) Self-funded services, or let us know if you're (3) unsure what service you need.

Please choose one service *
Please choose one service *

Do you have a location preference? *

How would you prefer us to contact you via? *

Can you please briefly outline the reason you are seeking support?*