Hello. This is my self referral form. Let me know your reason for seeking psychotherapeutic counselling. PLEASE NOTE: At ther moment I can only offer video therapy. Let me know whether you would like face to face counselling or video therapy. Your contact details. Good days/times that I can contact you for a free fifteen minute consultation. I look forward to talking to you soon. Best wishes Katy
Valid Characters: -'a-zA-Z0-9.,;:"()!?