Book an Appointment

Name

First Name

Last Name

Phone Number

Email Address

Preferred Time & Date

Preferred Counsellor

Reason for appointment

Are you currently in counselling?

Have you previously received Counselling?

Are you currently under the care of a CPN or Psychiatrist?

Approval for Counsellor Observation

Journey Counselling is a training organisation and as such may have newly qualified counsellors sitting in as observers on sessions for professional development.

I am happy for someone to sit in on my sessions

I am not happy for someone to sit in on my sessions

Preferred Session Format?

In-Person

Zoom (Online)