Black Womxn's Therapy Fund (BWTF) Low-Cost Client Registration
Launched in June 2020, ‘The Black Womxn's Therapy Fund' is a monthly service offering Black womxn and non-binary people the opportunity to access low-cost sessions with an accredited Black Therapist.
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Full Name *
Email *
Age *
Pronouns *
Can we please have a telephone number we can contact you on, in case we have questions?
Where are you based? Please include Borough / District in response. *
Currently, all therapy sessions are being offered online. However, we still need to know where you are based incase there are any time conflicts to be aware of, or location-specific services that we can offer.
Monthly / Annual Income *
How much can you afford for weekly sessions? (please note that fee availability is based on the availability of the therapist?) *
Required
Would you be happy to have online therapy sessions? *
Required
What type of modality would you like to work with? (We cannot guarantee that you will be allocated to this therapist in particular, but your choice will help us in the allocation process) *
Required
How ready do you feel to share? *
 Why is now the right time for therapy? *
What's your therapy history? *
What are the 3 main themes you want to explore in therapy? *
How is everything you are experiencing impacting your day-to-day life? *
We will be in touch within 14 days when we make our therapist allocations. Please tick to show you are aware of our feedback time. *
Required
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