Book Consultation | The OCD Psychologist

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

GP Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Q2 - if Yes

3. Are you taking any medication for these difficulties? If so, what medication do you take and how do you find these?

Yes
No

Q3 if Yes

4. Do you have any other diagnoses you would like us to be aware of?

Yes
No

Q4 if Yes

5. Do you have a diagnosis of Autism Spectrum Disorder (ASD) or Attention Deficit Hyperactivity Disorder (ADHD)?

Yes
No

We are aware that OCD and neurodivergence can often co-occur, and are always keen to adapt our sessions to ensure they are tailored to any neurodiversity.

Q5 if Yes

6. Are you currently receiving support from/on a waiting list for any NHS mental health services? If so, please provide details below.

Yes
No

Q6 if Yes

7. Do you have any preferences on location of appointments?

Online
Home Visit

Please note: we mainly offer online appointments. Home visits may be possible depending on location. Travel time is charged at our usual hourly rate.

8. Do you have any preference for appointment time?

Time of day

9. Is there anything else you would like us to be aware of?

Yes
No

Q9 if Yes

Client Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Client GP Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

1. Reason for referral: What are the main difficulties the client would like to receive help for? If possible, please provide a brief description of current symptoms.

2. Has the client received any psychological therapy before for these difficulties? If so, please provide a description of what was received and how they found this.

Yes
No

Q2 if Yes

3. Is the client taking any medication for these difficulties? If so, what medication do they take and how do they find these?

Yes
No

Q3 if Yes

4. Does the client have any other diagnoses they would like us to be aware of?

Yes
No

Q4 if Yes

5. Does the client have a diagnosis of Autism Spectrum Disorder (ASD) or Attention Deficit Hyperactivity Disorder (ADHD)?

Yes
No

Q5 if Yes

6. Is the client currently receiving support from/on a waiting list for any NHS mental health services? If so, please provide details below.

Yes
No

Q6 if Yes

7. Does the client have any preferences on location of appointments?

Online
Home Visit

Please note: we mainly offer online appointments. Home visits may be possible depending on location. Travel time is charged at our usual hourly rate.

8. Does the client have any preference for appointment time?

Time of day

9. Is there anything else you would like us to be aware of?

Yes
No

Q9 if Yes

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Consultation Appointment

About You

Your Contact Details

GP Details

FINAL STEPS

General Enquiries

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Book a Consultation Appointment

About You

Your Contact Details

GP Details

FINAL STEPS

General Enquiries

Book a
Consultation Appointment