first step to psychotherapy form

Please complete the form below if any of the following apply to you:

• You are ready to start psychotherapy.

• You would like to explore whether psychotherapy is right for you at this time.

• You have been referred to me by another professional.

• You have been advised by me to complete this form.

Please fill in the form below, providing as much relevant information as possible, and sent it back to me prior to your initial assessment session