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Clinical Therapy Intake Form – Singular Specialism

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Section 2: Clinical Specialisms Which area(s) of clinical focus are you seeking support for? (Select all that apply):
Depth of Focus Selection:
If you are currently in an emergency, fear for your physical safety, or are in a mental health crisis, please get in touch with your local emergency services, your GP, or a crisis hotline (such as the Samaritans or a Local Domestic Abuse Hotline) immediately.
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Clinical Assessment Selection:
Practice Boundaries, Financial Consent & Container Commitment. (Please check all):