Surrey registration and booking form
Please complete our brief registration form so we can book you an initial assessment
Please note that Thinkaction is not a crisis service. If you feel that you are unable to keep either yourself or others safe, please contact your GP, visit your local A&E department, or call the Samaritans on 116 123.
Thinkaction (part of Addaction) takes your privacy seriously. We'll use the information you provide in this form to get you the care you need and to start a record of your journey with us. View our privacy notice at
Accept and continue
Close and do not continue
Never submit passwords through Google Forms.
This form was created inside of Addaction.