Contact us.Services@cbtwithnicole.comBrentford TW8 Name * First Name Last Name Pronouns * Phone * Country (###) ### #### Email * Describe what you are looking to work on * Address during sessions * Address 1 Address 2 City State/Province Zip/Postal Code Country Preferred date for consultation * MM DD YYYY Preferred time Hour Minute Second AM PM Thank you! You will be contacted by Nicole to arrange your consultation. This will be a 10-15 minute phone call discuss your needs and her availability. In preparation to the phone call please write down the most important goals you have in coaching/therapy. If you are in Crisis or having an emergency: Emergency: call 999Samaritans: 116 123Saneline: 08457678000National Drugs Helpline: 0800776600 National Drink line: 08009178282
