Private Couples Counselling Service Form

Private Couples Counselling sessions offer little to no waiting time and an assessment is completed within the first session.

To register, fill in the registration form, and you will receive a list of the currently available private couples counselling sessions by email.

    Preferred Site:

    Person 1:

    Date of Birth:

    Are you a returning client?

    Person 2:

    Are you a returning client?

    How would you like to attend counselling sessions:

    Disable Access Requirements:

    * Please note, the Bromley building does not have a lift, and sessions are held on the first floor. If access arrangements are needed, sessions will need to be arranged at the Bickley site. Additionally, there are parking restrictions from 12PM to 2PM daily.