Child/Family Enquiry

Please note: There is currently a waitlist for child therapy with next appointments most likely available in March.  To be added to our waitlist please complete the form below and a member of our admin team will confirm.

Your name (required)

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

I understand there is a waitlist and I request my child be added subject to clinical review of my enquiry.

Please note we are not able to accept enquiries from third parties (aunts, grandparents, 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 have any special requirements to physically access the building?

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.

Please note that if you are in crisis you should contact the West Berkshire Crisis Response Team on 0300 365 0300 or 0300 365 9999. Alternatively go to your nearest Accident & Emergency or call 999.