Appointment change
request form

Your next appointment has been booked as agreed with your Counsellor at your last session.

If you need to amend this appointment booked, we are able to do this for you in extenuating circumstances.

Please note this may not always be possible, depending on your Counsellors availability.

If your sessions are being paid for by your Employer, Insurance company, Charity or other Third Party referrer

we may need to send this rebooking request to them to request authorisation before we can offer an alternative appointment date and time.

Please ensure you are agreeing a next date and time that is suitable with your Counsellor at the end of each session.

PLEASE NOTE UNLESS 24 HOURS HAS BEEN PROVIDED TO RESCHEDULE YOUR APPOINTMENT

YOUR SESSION BOOKED WILL BE LOST -  THIS WILL BE TAKEN OUT OF YOUR ALLOCATED 

NUMBER OF SESSIONS, OR NOT REFUNDED IF YOU ARE SELF-FUNDING YOUR SESSIONS.

Appointment amendment request form

PLEASE ENSURE YOU COMPLETE ALL REQUIRED FIELDS

PLEASE ENSURE YOU COMPLETE ALL REQUIRED FIELDS

PLEASE NOTE: If your sessions are being paid for by your Employer, Insurance company, Charity or other Third Party referrer,

we may need to send this rebooking request to them to request authorisation before we can offer an alternative appointment date and time.

PLEASE NOTE: Rebooking requests are only processed during office hours (Monday-Friday 9am-5pm)