7 Swans, The Terrace, Grantham Street, Lincoln LN2 1BD

Request an initial online consultation

All sessions require the following information prior to booking. Please read T&Cs before submitting.

Name*
Contact Number*
Email*
Address*
Date of Birth*
Briefly describe what has brought you to 7 Swans Therapy?*
Are you/have you been in therapy?*
Please detail your availability?*
Data Privacy*
This form collects your name, telephone number and email address along with your message so that we can communicate with you and provide you with assistance. Please check our Privacy Policy to see how we protect and manage your submitted data. For Couple work, please submit one form for each partner.
- I consent to my submitted data being collected and stored and have read and agree to the counselling terms and conditions of counselling.
Email
This field is for validation purposes and should be left unchanged.