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ASSESSMENT FORM

All Things Counselling Assessment Form

Birthday

Medical Details

Symptoms in the past 6 months: (please tick/highlight all that apply)

I confirm that the information I have provided is true to the best of my knowledge. I agree to receiving counselling from a student counsellor in their final year.

Date

CONTACT DETAILS

Address:

18C Crawfordsburn Road Newtownards BT23 4EA 

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Email: info@allthingscounselling.co.uk
 

Txt/ Tel:  07888324652

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OTHER INFO

Counselling sessions are available:

 

Monday - Friday: 9.00am – 4.30pm

Tuesday: 5-9pm
Wednesday: 5-9pm

Thursday: 5-9pm

Counselling sessions are by appointment only.

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© 2022 by All Things Counselling.

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