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Self Referral

If you feel that I can help you and you'd like to work together, please complete the self referral form below. I offer a free 15 minute consultation to all prospective new clients to make sure that we are both confident that we are a good fit. I offer in person therapy in Hertfordshire or remote sessions via Zoom. ​If you are a medical professional looking to refer a patient, please use our professional referral form here

Your details

GP details

Next of kin (for emergency contact only)

What are you looking for help with?


Insurance details (if applicable)

Thanks for getting in touch

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