Online Booking Request Form

Online Booking Request Form

You may not be aware that AWS is closing as of 17 June 2026. With our remaining capacity, this may mean you might not be able to access your full allocation of sessions. If they haven’t already, your company will be exploring other EAP providers. we are accepting new clients in general until 15 May 2026. If you are a new client after this date, please reach out to your organisation regarding your new provider. 

    Personal Details




    Home Address




    Is this your first session with us

    YesNo

    Do you work within a specific department?

    No / Don’t KnowYes

    Is your role?

    Full TimePart TimeCasualVolunteer

    The appointment is for a?

    IndividualCoupleTeen (13+)Child (12 and under)

    Is the person attending the session a?

    EmployeeFamily Member

    Preferred Session Type

    No preferenceTelephone CounsellingVideo/Online CounsellingFace-to-Face Counselling

    Preferred Day

    Preferred Time

    Preferred Contact method

    PhoneEmail


    Have a question?