Request a Session

All sessions require the following information prior to booking.

Please read T&Cs before submitting.

Name*
Contact Number*
Email*
Address*
Date of Birth*
Please outline what has brought you to 7 Swans Therapy, including areas of focus for the work?*
Are you/have you been in therapy?*
Are you looking for Relationship or Trauma Therapy? [Please note only individual sessions currently available]*
Please detail your availability for sessions.*
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.
Phone
This field is for validation purposes and should be left unchanged.