NEW CLIENT INTAKE FORM
The following questions are designed to give me an overview of you, your relationship history and current concerns. Some questions you may feel more comfortable discussing in session — please just note that in the form and we can explore it together.
Where I am working with a couple, your form is confidential to you and me. Please be aware that I am unable to hold secrets — if one partner shares a significant secret their partner is unaware of and does not intend to disclose, I would need to refer you both to a new therapist to ensure the work remains ethical and safe.
Before committing to working together please make sure you have read both of these documents to make sure you are clear about my terms:
If you have any questions, please get in touch with me hello@michaelamurphy.co.uk
For details on data protection please see my GDPR policy.