Mental Health Appointment Request

Thank you for getting in touch. We understand that seeking mental health support can feel difficult, and taking this first step is important.

This short form helps our clinical team understand your needs before your appointment.

• Takes around 5 to 10 minutes to complete
• Your answers are confidential and stored securely
• Take your time, there are no right or wrong answers

If you need help completing this form, please contact the clinic.