Client Registration Form
This form is for clients I have agreed to work with. Please complete it only if you have been asked to.
Now might be a good time to grab a cup of tea and set aside 20 minutes in a quiet place where you won’t be disturbed. You may find it easier to do this on a device bigger than a phone.

The form is designed to capture the information necessary for me to carry out my role as a therapist.
If you feel uncomfortable about the questionnaires or any of the questions, they can bring up feelings. Please speak to me about this.
Submitted forms are stored securely and are anonymised.