To arrange an
initial session we need you to complete the following brief form. The
form can be completed here or you can print it out and post it to us. All information you supply will be treated in
strict confidence.
The current waiting time for initial appointments is 2 - 3 weeks,
depending on your availability (up to 10 weeks if required to be in the
evening).
(We will
assume we can email you about counselling to this address.)
Telephone Contacts: (When
leaving messages, we will always say it is the "PF Counselling Service
calling")
Home telephone number:
When is the best time to contact you on your home number?
Can we leave messages for you at your home number?
Yes
No
Work telephone number:
When is the best time to contact you on your work number?
Can we leave messages for you at your
work number?
Yes
No
Mobile telephone number:
When is the best time to contact you
on your mobile number?
Can we leave messages for you at your
mobile number?
Yes
No
We use text messages to remind clients of
their initial appointment only. We will mention the PF
Counselling Service in this message. If you do not want to
be contacted via text message, please indicate by clicking here:
Assessment
Appointment:
What days/times are you available to
attend for a one-off initial appointment?
The more flexibility you have, the quicker you can be seen.
Evenings are our busiest time.
First choice:
Second choice:
Other:
Regular
Appointments:
What days/times
will you be available to attend regular weekly sessions?
The
more flexibility you have, the quicker you can be seen. Evenings
are our busiest time.
First choice:
Second choice:
Other:
The PF is currently closed over the
weekend. However, appointments for weekend counselling may become
available in the future. Please indicate if you would be
interested in counselling on
Saturday
Sunday
Other
Information:
Is there anything else you feel we should
know at this stage?
How did you hear about PF?
Please select an option...
Fast Track:
Fast Track
usually offers appointments on Friday afternoons and Saturdays.
The initial appointment will cost £45, and each weekly appointment
thereafter is £45.
There are currently only
limitedFast Track spaces
available, and these are mostly on Saturdays. Please check back soon to see if this has changed. (1 February 2012)