If you are in crisis or in need of urgent support, please call Samaritans on 116 123 (free, 24/7), NHS on 111, or attend your nearest A&E.

Make an enquiry

Get in touch

Complete the short, confidential form below. Dr Liz reads every enquiry personally and will get back to you within 2working days. If she’s the right fit for what you need, she’ll follow up with availability and next steps — and if not, she’ll try to point you in the right direction.

All sessions are held online via Zoom.

About you

Who is the client? *

MyselfOn behalf of someone elseA couple

Client name *

If you’re completing this on behalf of someone else, your name and relationship to the client

Your partner’s name (for couples therapy only)

Email *

Phone

Age of client *

Gender (client) *

Is the client based in the United Kingdom? *

YesNo

What you’re looking for

What type of therapy are you looking for? *

How will you be funding sessions? *

Self-funding fees are £170 (individual), £200 (couples) and £250 (coaching). If you’re using insurance, please select your provider.

Self-fundingAXA HealthVitalityCignaWPAAvivaHealix

Your situation

Please tell us about your current difficulties — including when they started and what you’re experiencing *

A brief summary is plenty — there’s no need to share sensitive detail here.

Have you been diagnosed with a mental-health problem, past or present? If yes, please give brief details

Have you had therapy, counselling or psychotherapy before? If yes, what type, for how long, and how long ago?

Are you taking any medication? (if relevant)

Alcohol use

Recreational drugs

Safety

Have you had thoughts of hurting yourself within the past month that you have wanted to act upon? *

YesNo

This form is not monitored for emergencies. If you are in crisis or at immediate risk, please call Samaritans on 116 123 (free, 24/7), NHS 111, or 999.

Are you (or is the client) under the care of an NHS service — e.g. CMHT, CAMHS, FOLS?

YesNo

If yes, which service?

Finally

How did you hear about Dr Liz?

I agree to Dr Liz Harte contacting me about my enquiry, and I have read the privacy policy. *

Dr Liz Harte

Clinical Psychologist

HCPC registered · BPS Chartered Member
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