Contact us

Please fill out the following form, giving as much information as you can, to request a one-off consultation. This will be an appointment for you as a parent or carer to talk through the difficulties you are experiencing with one of our experienced therapists. All questions must be answered before the form can be submitted. Please do make sure your form has been submitted successfully before leaving this page - you may need to scroll down slightly to see the confirmation or any error message.

We will respond to most enquiries via email. Please check your spam filter if you have not received a reply within 3 days.

Your name*

Email address*

Phone number*

Child/young person's date of birth (up to age 25)*

Brief description of the reason for your referral*

Do you live in or near Sheffield?*
YesNo

What is the first part of your postcode?*

Have you contacted us before?*
YesNo

We are not currently accepting self-referrals for individual therapy.

Would you like to be offered a one-off parent/carer consultation appointment?
This would be a supportive consultation for you as a parent/carer with one of our experienced therapists, to explore your child's needs and offer advice and guidance about how you can best support them.*
YesNo

Please list the days and times when you are available to attend a one-off consultation.*

When you reach the top of our waiting list we will get in touch with you via email and offer you a small number of options for a one-off consultation. (Please note that you will not be able to join our waiting list for ongoing therapy until referrals are re-opened, so do keep checking this page if you are interested in longer term support.) If you are paying directly for support in relation to a family member, all appointments will be charged at the flat rate of £70 per session.

We are currently expecting significant waiting times, depending on your needs and availability. Please confirm you would like to be placed on our waiting list.* Yes

A confirmation message will appear at the bottom of the screen after you click 'send' and a summary will automatically be sent to your email address. If you do not receive an email within the next few minutes, please check your spam/junk folder and mark our email "not spam".

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