Contact Email Form

If you would rather contact Anthony via an email to arrange an appointment please complete the form below and an email will reach him for his attention only.

This is not a counselling or a discussion forum as I would prefer to meet you personally to ensure confidentiallity.

Not all the questions are necessary for you to answer (only those with ‘required’ at the end of the question are required), whilst the other questions can be briefly completed as an option.

Your Email will appear here when you click on Submit and you can have the option to print a copy if you want to keep a copy