Child/Family Enquiry

Please fill in the fields below and submit to send your enquiry. One of our team will be in touch with you shortly after.

**Please note: We currently have a waiting list for child therapy with the next appointments available from late September**

Your name (required)

I confirm I am the client or the client's parent or legal guardian.

Please note we are not able to accept enquiries from third parties (spouses, siblings, etc.)

Your email (required)

Confirm email (required)

Phone number

Is it ok to leave a voicemail?

Preferred form of contact:

What brings you to seek therapy at this time?

Have you had therapy before?

What type of therapy do you require?

Age of child

Days & Times You Are Able To Attend Appointments
Weekday eveningsWeekendsWeekday daytimes

Do you prefer a male or female therapist?

Preferred therapist(s):

How did you hear about Mind Garden?

If you selected other:

To help us understand our service demographic, please supply the postcode from which you would be travelling:

In accordance with the GDPR, please indicate consent below:

Yes I understand that my email address will be used for communication regarding the above appointment request. I understand that in order for my appointment request to be processed, the above information will be passed to a suitable therapist(s) who will contact me directly.

Yes I understand that my information will be kept on file for the statutory period as determined by the British Association for Counselling & Psychotherapy/United Kingdom Council for Psychotherapy/British Psychological Society or equivalent.

Our Privacy Policy can be viewed here.