Thank you for your interest in receiving counselling with us, before taking you to the application we would like to clarify a few points, kindly tick each statement to indicate you have read and understood it.
I understand that by completing this application form, I am applying for counselling services at the Centre for Better Health, which may include an assessment interview:
I understand that I may receive counselling from a counsellor in training:
I understand that my counsellor will attend supervision and may discuss aspects of my case in confidence:
I understand that all information shared with the service is confidential and no information will be released without my consent. However, I understand that confidentiality may be broken in the following circumstances: risk to self, risk to others and safeguarding of vulnerable persons. In the first instance, this might be with your GP or with a local safeguarding board:
I understand that the centre will not offer counselling therapy to counselling students who are seeking therapy solely to fulfil their course requirements and no written confirmation of attendance will be issued under these circumstances:
If you are currently enrolled as a counselling student please supply details here:
Please note that if you are accessing counselling to address adoption issues, eating disorders, substance misuse or bereavement we would advise you to contact other specialist counselling services.
Thank you, one last thing,
If you wish to be added to our mailing list on MailChimp and receive information about our courses and workshops kindly tick this box:
You can unsubscribe at any time by clicking “unsubscribe from this list” at the bottom of the emails you receive.
We will now take you to the application; kindly complete all sections as thoroughly as you can.
AVAILABILITY AND FEES