Registration Form

Please complete and submit the registration form to provide information and your consent to the consultation.

By submitting the form, you confirm that:

  • You agree to the Roundway Centre / Therapy Terms and Conditions and GDPR Policy
  • You consent to your referral information being stored on our secure clinical database
  • You agree to receive assessment and appointment information via email

Once the completed form is received, our team will proceed with your upcoming appointment.

Crisis support information

Please note that we are not a crisis or emergency service. If your child is in immediate risk or needs urgent mental health support, please use one of the following 24/7 services:

  • Call 111 (available 24 hours a day)
  • Text “SHOUT” to 85258 to reach the Shout Crisis Text Line. If under 19, text “YM”
  • Under-19s can also call 0800 1111 to speak to Childline

If there is an immediate threat to life, call 999.

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