Client Contact Form
23 New Road (Upper floors), Brighton, BN1 1UG

Tel: 01273 626444
Email: info@brightontherapycentre.org.uk
Web : www.brightontherapycentre.org.uk

Initial consultation session is £15.00 unless rescheduled without giving us 48 hour notice.

Please note that the this form needs to be filled in prior to your initial consultation!

Data Protection Statement: Brighton Therapy Centre is committed to keep personal information strictly confidential. All information will be treated confidentially and will not be shared with third parties outside of BTC unless there is concern about harm to self or harm to others.

We apologize but be cannot provide disabled access in our current premises.

Name and Surname *
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Landline
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Email
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G.P. details *
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