Book an appointment at our Cleveland office
Client Details
Existing / New Client —Please choose an option—Existing clientNew client
Preferred Location —Please choose an option—Cleveland
Preferred Day AnytimeMondayTuesdayWednesdayThursdayFriday
Please note that all psychologists are not available all days
Preferred Time AnytimeMorningsAfternoonsAfter SchoolEvening
You may select more than one option
Type of Visit—Please choose an option—Existing ClientAdult psychologistTeenager (over 13 only)Couples counsellingFamily counsellingOther
If you are a new client, please complete the following, so we can book you in with the most suitable psychologist for you
Gender —Please choose an option—MaleFemale
Age —Please choose an option—AdultTeenager 13 - 15Teenager 16 - 18
Additional Information
Please send us a message and we will get in touch.
