Enquire about individual therapy

One-to-one therapy with Dr Liz, online via Zoom. Dr Liz reads every enquiry personally and will get back to you within 2 working days.

About you

Your name *

Email *

Phone

Age *

Gender *

How will you be funding? *

Self-fundingAXAAvivaVitality

Your situation

Please tell me in brief 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 details here.

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.

Finally

How did you hear about Dr Liz Harte?

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