Please would you complete the client registration form below. I appreciate it may feel intrusive for me to ask for these details before meeting you, but for online counselling it is essential I have this information so that I can ensure your safety and wellbeing in the event of an emergency situation arising during our sessions. Please be assured that this information will be kept with highest regard for your confidentiality and will only be kept for as long as it is needed.
If you are uncomfortable completing the online form, you are welcome to download the fillable PDF form here:
Please email me at firstname.lastname@example.org if you have any questions or concerns.