Counselling Booking Form

Fill in the form below to request further information or book an appointment with us.

Welcome to our online booking form. By submitting the information below, our team will be able to contact you with further information and our available appointments. 

Please note: This is a self-referral form only for adults aged 18+. To refer a child or young person under the age of 18, please use this form.

Please check you have read about us and our costs before booking in.

 

Personal Contact Details:

  

 Additional Information:

Appointment Availability. 

The more flexible your appointment availability, the sooner we will be able to offer you an ongoing appointment.

 

Our counselling hours are:

  • Manchester Office:
    Monday-Friday evenings
    Tuesday & Thursday mornings and afternoons

  • Stockport Office
    Monday - Thursday mornings, afternoons and evenings
    Friday - morning

  • Eccles Office
    Wednesday morning 10am-12pm

 

Please Note: By requesting to book with us, you will be offered an appointment based on your requirements. All information provided is strictly confidential.

Were you looking for something else?

Abusive Relationships

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All Services

Not sure which service is right for you? We work with people every day in all types of situations and we know how complicated life can be. Click here to view all our services.

Family Life Help

Families come in all types, shapes and sizes. Families can be wonderful yet families can also be complicated.

Feeling Alone

Sometimes we all need someone to talk to so that we can feel less alone. Sometimes you need help to talk over issues and think about different approaches.

Send us a Message

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