Counselling Registration form

If you need any support to complete this form, please contact us via counselling@spectra-london.org.uk


* Required.

About you



Emergency Contact


In order to arrange appointments we will contact you by phone and email. If you prefer not to receive communication by any of these methods, please untick the appropriate boxes.

Is your GP aware of your gender identity?

Is your current gender identity same as you were assigned at birth?


If you have used any other Spectra services in the past, please provide more details here.
Currently we can offer Counselling in English and French.
In order for us to be mindful of any conflict of interest please could you tell us if you know any staff at Spectra, are in a close relationship with someone who has applied to/ is receiving counselling from Spectra. Or if you are receiving counselling elsewhere.


Your Availability

Appointments will be held either online, by phone, or face to face at our office at St Charles Centre.


Please indicate your preferable time and day(s) of the week for counselling sessions.



REASONS FOR SEEKING COUNSELLING



PLEASE LET US KNOW IF ANY OF THE FOLLOWING ARE/HAVE BEEN A CONCERN

this could include but is not limited to: physical abuse; emotional abuse; sexual abuse; domestic abuse; neglect

ART THERAPY GROUPS

Spectra operates regular Trans Art Therapy Groups which run for 6-8 weeks with a qualified trans art therapist. The Groups are designed for trans and non-binary people as a place of exploring and getting support with difficult emotional experiences. You don't have to be any good at art; it's all about exploring your creativity, finding new ways to express yourself and learning skills to help you manage when things are difficult.


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