WAITING LIST CONTACT FORM
By selecting to submit the contact form below, you have opted to be
placed on LTR's waiting list for the next available counsellor.
To select a therapist of your own choice please visit the Therapist Page.
Once you submit this form you will receive a response with-in 7-10 days.
An available therapist will contact you to arrange a suitable time for a
consultation call whereby arrangements for an appointment can be made directly
with your therapist.
If you are filling in this form on behalf of someone else, please ensure you have gained their consent
and that you enter their contact details.