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Intake Forms

Please print out the form and bring it with you to your first session. 
to preserve confidentiality I prefer that you don't send it by email
Individual's Intake Form
Couple's Intake Form

The practice is based in Greystones in Co. Wicklow, within a half hour drive from Roundwood, Kilmacanogue,

Delgany, Rathnew, Arklow and Wicklow. It is readily accessible from South Dublin

Contact Fiona on 086 234 0635 or email

Accredited Member of the Irish Association of Counselling & Psychotherapy

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