Book a Consultation

To help us understand what has led you to an assessment or to therapy, please complete our self-referral form below. Following this, we will contact you to book in a free initial consultation.

If you are completing the form on behalf of someone else, please complete the details below in their name, and explain further in the text boxes.

First name*

Last name*

Date of Birth*

Day

Month

Year

Phone

Email*

Are you seeking therapy/assessment for:*

Yourself

Someone else

Briefly describe the main reason you're seeking therapy or an autism assessment*

How long have you been experiencing these difficulties?

Less than 1 month

1–6 months

6 months–1 year

Over 1 year

Is there anything specific you’d like us to know before the consultation call?

How did you hear about us?

Psychology Today

Via insurance comapany

Google

Family/Friends

Other

Services

Service Information

Initial Consultation
30 min
Initial Assessment
1 hr 30 min
180 British pounds

Please note: we do not offer an emergency crisis service.

For urgent mental health support, contact NHS 111 option 2.

24/7 support is also available by calling Samaritans on 116 123 or via SHOUT text crisis service on 85258.

If your need is an emergency, please call 999, or go to your local Accident & Emergency (A&E) department.

hello@orenia.co.uk

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Book a Consultation

Services

Initial Consultation

Initial Assessment