INDIVIDUAL INTAKE FORM

Before your initial consultation

These questions help me understand you, your relationship history and what brings you here. If you’d prefer to explore something in session, simply note this on the form.

Before committing to working together, please ensure you’ve carefully read through the  Therapeutic Contract as it explains important terms and boundaries that underpin our work together.

The information in this form will be treated as confidential within the bounds explained in the therapeutic contract.

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.