Introduction
Home
About Us
Services
Therapists
Location
Opening Hours
Contact
Room Rental
Links
Work Oppertunities
Book A Session
Introduction
Home
About Us
Services
Therapists
Location
Opening Hours
Contact
Room Rental
Links
Work Oppertunities
Book A Session
Name
*
First Name
Last Name
Email Address
*
Confirm Email Address
*
Phone
*
(###)
###
####
Brief Description of Issue (Optional)
Emergency Contact (Name & Number) (Optional)
Preferable Day(s) & Time(s) (Optional)
Ideally, what days & times suit you best for an appointment?
Requested Therapist (Optional)
Are there any of our therapist that you would have a preference for working with? Select as many as you'd like & we'll check their availability for you! (Note: you can find bios for each in the 'our therapists' section)
Gerard Byrne
Siobhan Whitney
Elizabeth Kerrigan
Una Fenlon
Deirdre McGil
Caroline Blagburn
Colette Kehir
Celine Moran
Orla Patel
Judith McGowan
Louise McHale (Reflexologist)
Type Of Therapy (Optional)
Individual
Couples
Family
Scale Of Urgency (Optional)
How Urgently Do You Need An Appointment?
Not Urgent
Mildly Urgent
Extremely Urgent
Contact Permission
Do you give us permission to contact you via phone?
Yes
No
Are You Over 18 Years Of Age?
*
Yes
No
Where Did You Hear About Us? (Optional)
Filling this out really helps us. Please do if possible :)
-
Online Advert
Print Advert
GP Referral
OT Referral
Psychologist Referral
Word Of Mouth
Other
Thank you for your enquiry. We will be in touch with you shortly.
