MUSIC THERAPY

SELF-REFERRAL FORM FOR ADULTS (18+)

Please complete this form if you are interested in therapy with one of our music psychotherapists and are prepared to fund sessions privately. Once submitted, a therapist will contact you to discuss whether and how we can help, as well as the practical aspects of therapy.

We offer:

  • One-to-one, 50-minute therapy sessions at The Pound Arts Centre, Corsham.

  • Sessions with a qualified music psychotherapist in a specialised studio.

  • A creative approach incorporating music, expressive arts, and conversation to support mental health and emotional well-being.

  • Collaborative therapeutic goals, developed and reviewed over time

Please complete ALL SECTIONS of the referral form below.

All information submitted in this form will be held confidentially in accordance with our data protection policy which is available on request.