Book Now - £45.00 Counselling Session with a Qualified Counsellor at Kilmarnock Station Counselling Service

What we offer

  • At Kilmarnock Station Counselling Service we are pleased to offer Cognitive Behaviour Therapy (CBT) and Person Centred Therapy. Both types of therapy are conducted on a 1 to 1 basis either face to face or online whichever suits your individual needs. Complete the brief details below and we'll call you to confirm your appointment.
1.Do you require face to face or online sessions?
2.which type of therapy are you looking for?
3.Your full name
4.Your contact  phone number (mobile if possible since sometimes we text information about appointments
5.Your email address (if you have one)
6.Please tell us the name of your GP Surgery & Address
7.Do we have consent your consent to contact your GP in an emergency
8.The main issue I am looking for help with is:
9.Sorry to ask an intrusive questions but do you consider yourself to be a risk either to yourself or others at the current time?
10.If you answered yes to the previous session please answer the following questions. Please read each statement below think how often you have felt that way in the last week, then mark the box which is closest to this.
Not at all
Only occasionally
Sometimes
Often
Most or all of the time
I have thought of hurting myself
I have made plans to end my life
I have thought it would be better if I were dead
I have been physically violent to others
I have threatened or intimidated another person
11. Can you tell us what slots you might be available for your chosen therapy?  The wider your availability the more timely it is to allocate you to a counsellor. Please tick all that apply.  Mornings are 9am-12pm Afternoons are 12pm- 5pm (last appointment is 4pm).
Yes
No
Monday morning
Monday Afternoon
Tuesday Morning
Tuesday afternoon
Wednesday Morning
Wednesday afternoon
Thursday Morning
Thursday afternoon
Friday Morning
Friday Afternoon
What happens next
Appointment allocation is based on your availability and we aim to contact you with in 2 weeks of receiving your referral, once we have a therapist available.

Thank you for taking the time to complete this enquiry form.
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