Thank you for your interest for Psychosynthesis counselling. You will be contacted by a representative of the Counselling Service for an initial telephone assessment, so that we can match you with a counsellor to meet your specific needs.

After completing the form, please ensure that all mandatory fields are filled and terms & conditions have been checked.

After clicking 'send your application ' you will be automatically redirected to a page where you can make payment of the £25 registration fee. Please note that you can make payment via PayPal whether or not you have a PayPal account. If you prefer not to use PayPal, then please click ‘Pay by Debit or Credit Card’.

Should there be any difficulty with the registration process, please contact us via email

We aim to refer you to a counsellor as soon as possible. Please bear in mind that we are currently experiencing a high volume of registrations and placements will depend on availability and more importantly suitablity for your current needs. will need to contact the therapist to confirm availability and more importantly suitability for your current needs.

Fields marked with an * are required

Counselling and Psychotherapy Service Questionnaire

(as it appears on your passport)

Terms and payment

After having submitted the form, you will be redirected to make payment of the registration fee.

Please make sure you tick all boxes below.


Problems submitting the form?

Click below to download a copy of this form.

When you have completed the offline form, please email all required documents to

Click here to go back to the counselling page