Make a Booking

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

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? *

Reason for accessing the service*

To assist us in matching you with the right clinician, please briefly outline why you would like to access our services.