Submit Your Request For Urgent Support

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  • 1
    Share your needs with us
    Let us know how we can help by sending us a message with a description of the urgent support you require.
  • 2
    Connect with the right clinician
    Upon receiving your message, we will match you with a qualified clinician who is best suited to meet your specified urgent needs.
  • 3
    Commence your session
    Once matched, you can schedule a session at your earliest convenience to receive the professional support you need.

Client Information Form

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    Preferred mode of contact

    Have you had mental health support from a psychologist, psychiatrist or mental health counselor before? If yes, please state the dates that you saw this person(s) and the reasons for meeting.

    If you had mental health support previously, did you find it beneficial? Please give reasons no matter your answer.

    If you have not had therapy or counselling before, what are your expectations of the process?

    Are there certain qualities you would like for your therapist to possess; for example, gender, age range, religious persuasion or other?

    What days of the week and times in the day do you prefer to have sessions?

    Do you have any fears or concerns about the therapeutic journey?

    Do you have a preference for face to face, video sessions or a combination of the two?

    Have you ever been diagnosed with any mental or psychological conditions before? Are you on medication for same, and if yes, what medications are you on?