Video group consultation registration

Video Group Consultation Registration

Sessions Available: *

Managing Anxiety – Tuesday 16th March 2021, 6pm

We do not want any of our patients to feel they cannot participate in the session because they are worried about the technology set up.

Please tick here if you would like to request a trial 1-1 video call with our IT facilitator.

Would you like to have a family member, carer or friend to accompany you during the session? *

Yes

First name:

Surname:

Date of Birth:

Phone Number:

Email:

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