Request Appointment

To book an appointment to see one of our psychologists, please contact us on 0330 333 2323 or complete our secure form below. All information sent is kept confidential in accordance with the Data Protection Act 1998.

Please provide your information below - thank you.

Title: *
Mr Mrs Ms Dr

Firstname: *

Surname: *

Telephone: * *

Email: * *

Message: *

Preferred Clinic: *
Minories BUPA Clinic at Goldman Sachs (employees only) Online Therapy No preference

Preferred Time for Appointments: *
First Available Appointment Early Mornings Morning Lunch Time Afternoon Evening Late Evening Saturday Morning Saturday Afternoon

Will you be using Private Medical Insurance?: *
No, I will be self funding Aviva AETNA Allianz AXA PPP AXA International BUPA BUPA International CIGNA CIGNA International Healix Vitality WPA Other

See Also