Link to the registration form.

Please print out the form, complete it and send it back to us. If the counselling is ‘couples counselling’ for yourself and your partner together (rather than individual counselling for yourself only) then your partner will need to complete the relevant parts of the form. As soon as we receive the form we will contact you with a date for a first appointment. This appointment will normally be within 10 days of receipt of your request. This will provide an opportunity for you to discuss your situation with a counsellor and for an assessment to be made as to the most suitable form of counselling help.


Professional Care and Counselling
Counsel for LIFE, 10 The Broadway, Woodford Green,
Essex IG8 0HL Tel. 020-8491-0222