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Counselling intake form
Please use this form to request a counselling appointment. The information that you provide will be shared with your counsellor, but will remain confidential and private from your employer.
After submitting this form, a counsellor will reach out to you within three working days to schedule your first session. Each session last up to 50minutes.
If you have any questions or concerns, please contact our director of wellbeing and resilience at
camille.gallie@openbriefing.org
.
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Please enter the name of the organisation or funder that is providing for your counselling
Please leave this blank if you have been referred for funded support under Open Briefing's responsive assistance programme.
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