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What do you need help with?
What's worrying you?
Please describe the main issue you are seeking help for, along with any background details you feel are relevant.
The details you enter on this document may be seen, in an anonymised form, by the therapist proposed for you. We may contact the therapist to confirm the sessions have started, and are ongoing. Be assured, your privacy is always of paramount importance to us.
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Therapy preferences
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What is Body therapy
Some types of therapy consider that the mind and body are connected, and therefore that emotional and psychological distress may be experienced in the body as well as the mind.
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Yes
What is Art therapy
What is Art therapy?
Art therapy is a type of psychotherapy that uses art to express and communicate. Within this context, art is not used as a diagnostic tool but as a medium to address emotional issues which may otherwise cause distress. What is Play Therapy?
Play therapy is usually employed with children between the ages of three and 11. Play becomes an important vehicle for children in terms of their self-expression, ability to communicate and learn. A healthy attitude towards play can promote self-awareness, self-acceptance and awareness and acceptance of others.
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Yes
The details you enter on this document may be seen, in an anonymised form, by the therapist proposed for you. We may contact the therapist to confirm the sessions have started, and are ongoing. Be assured, your privacy is always of paramount importance to us.
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When would you like to see your therapist?
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12pm-2pm
3pm-5pm
Evening
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The details you enter on this document may be seen, in an anonymised form, by the therapist proposed for you. We may contact the therapist to confirm the sessions have started, and are ongoing. Be assured, your privacy is always of paramount importance to us.
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Medical details
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Yes
No
Yes
No
Yes
The details you enter on this document may be seen, in an anonymised form, by the therapist proposed for you. We may contact the therapist to confirm the sessions have started, and are ongoing. Be assured, your privacy is always of paramount importance to us.
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Once your payment has been received, it will be matched with your form and one of our team will contact you.

£66.00
The details you enter on this document may be seen, in an anonymised form, by the therapist proposed for you. We may contact the therapist to confirm the sessions have started, and are ongoing. Be assured, your privacy is always of paramount importance to us.
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