Consultation Screening

Have you attended therapy before?
Are you currently on any mental health related medication?
If yes, what medication are you currently on:
Are you looking for:
Are you planning to use medical aid or pay privately?
Are you currently experiencing thoughts of harming yourself or others?
If yes, please describe if you are currently receiving support
Note: If you are in crisis or need immediate support, please call 10111 (police) or 10177 (ambulance).

For suicide hotline support, please contact South African Depression and Anxiety Group (24 hour Toll Free Emergency Helpline) at:

0800 567 567 OR SMS 31393