Refer Yourself Now

The quickest way to arrange an online therapy session is to complete the brief, secure referral form below. One of our team will get in touch with you via email within 72 working hours, with options for arranging an initial assessment appointment with a Clinical Psychologist, as required. Alternatively, you can simply send us a confidential email to hello@clinicalpsychologycollective.co.uk to which we will respond as soon as we can.

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If you are looking to enquire about consultation, training or supervision services, please send us an enquiry here, stating your interest and a brief introduction about what you might be interested in. Alternatively, you can simply send us a confidential email to hello@clinicalpsychologycollective.co.uk, to which we will respond as soon as we can.

Take the first step...

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Full Name

Phone

Date of Birth (DD/MM/YYYY)

Please provide a brief outline of your main difficulties (note: a full assessment will take place prior to treatment)

Please note down any particular goals or aims you would like to work toards in online therapy (don't worry if you don't have any yet)

Have you identified a Clinical Psychologist from CPC you would particularly like to work with? If so who? (Note: we cannot promise availability but will try our best to accomodate)

Have you got an idea of what type of psychological therapy you might be interested in (Note: your psychologist will discuss the most appropriate plan for your individual needs in assessment)

Please check this box if you have been to psychological therapy before

Please indicate your availabiliy to attend online therapy sessions (check all that apply)

Mornings (weekdays)

Evenings (weekdays)

Saturdays

Thanks for submitting!
Please check your junk mail if you think you have not had a response from us within 72 hours

Clinical Psychology Collective Ltd.

Refer Yourself Now

Take the first step...

Thanks for submitting! Please check your junk mail if you think you have not had a response from us within 72 hours

Thanks for submitting!
Please check your junk mail if you think you have not had a response from us within 72 hours