Confidential Booking Form
This confidential booking form is available to EQUALS staff and students wishing to make an appointment for counselling services.
Counselling services are offered at Aspects of Healing, 25 Leigh Street, Adelaide.
Please provide us with your full name.
Please be aware our Counselling clinic is available on Friday afternoons only. Please select your preferred Friday and we will contact you to confirm a suitable time at our earliest convenience.
Client Contact Number
Provide us with your preferred mobile or landline contact number.
How did you hear about us?
Referred by EQUALS staff
Word of mouth
Is there anything else you wish to tell us?
Send me a copy of my responses
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