Counselling Booking Form

Please fill in your details below to book an online counselling session. This form is only to be completed for your first session. Another form should be completed for follow up sessions.

Please note that privacy and confidentiality are of the utmost importance. To this end, the details shared here are only for booking and administrative purposes only, and any information shared in online counselling sessions remain strictly confidential.

Personal details

please include the international dialing code

About your session

Counselling sessions take place on Monday afternoons between 13h00 and 14h00 SAST.

Please note: sessions are conducted in English.

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Once your request has been reviewed, you will be notified via email or WhatsApp that your request has been received. You will then receive notification of your session date and time, including your counsellor’s details. Your details will be shared with the counsellor who will then contact you directly for your session.