Please note that email counselling may not be suitable for all people. If you are experiencing interpersonal violence of any kind (whether physical, emotional, sexual, spiritual or financial), please reach out by phone on 0411 889 175 and alternative arrangements will be made to ensure you get the help you need. Similarly, if you are having any thoughts of self-harm or significant mental health challenges, email counselling may not be suitable for you. I encourage you to contact me on 0411 889 175 or by email so alternative arrangments can be made.

If you decide to proceed with email counselling, I ask you to read, sign and submit the counselling agreement, which you will be directed to after submitting this form. This is an important step in clarifying that you understand the arrangments for email counselling. It is important to me because I value your right to give informed consent to receive email counselling.