Please avoid detailed clinical history here. This form is for your own non-urgent enquiry. Each partner should enquire separately.

After you submit this form and confirm your email address, we will send your intake form and therapy agreement. You join the waiting list once your intake is submitted and your agreement is signed. Your intake answers may also trigger additional questionnaires automatically. Brent will review your information and contact you when a suitable face-to-face appointment is available. Completing paperwork does not confirm a place, start date or acceptance into therapy.

Complete the security check before submitting your request.