Book your therapy here
You can then fill out a therapy referral form below.
Alternatively, download the form below and return completed to firstname.lastname@example.org along with the relevant evidence required. You can then make a payment online for your chosen therapy here.
*Please note referral forms will only be processed during working hours Monday-Friday.*
Therapy services FAQs can be read here
It is very important that you read the terms and conditions of accessing therapy, as we are unable to issue refunds on any payments made.
Please also note that your therapy referral will not be processed if you do not submit or return all 3 forms. Required evidence must be provided and key details such as your GP information must be supplied.
Please ensure you return all documents in either Word, PDF or JPEG format. Other formats are not compatible with our network and will mean your referral is delayed until the forms have been resent.
Anxiety UK has a diverse range of therapists and endeavours to meet the needs of our members, wherever possible. If you do have a preference, please contact us and we will do our best to accommodate you.
If at any time you have a question regarding your application form, please call our Infoline on 08444 775 774 or email email@example.com.
|Fee Category||Fee rate|
|Tier 1 (total household income under £10,000 per year or in receipt of means tested benefits)||£15|
|Tier 2 (total household income between £10,001 – £24,999)||£25|
|Tier 3 (total household income between £25,000 – £49,999)||£35|
|Tier 4 (total household income over £50,000)||£50|
To receive therapy on the first top 3 tiers, evidence is required of your TOTAL household income to ensure that the lower tiers are kept exclusively for those who most need it.
Approved evidence includes:
- An award notification showing current rates of benefit
- A written statement of benefits from Benefits Agency staff
- Notice of state pension award from the DWP
If you are on Tier 1 or Tier 2 and are struggling to make the upfront payments please contact us, as we may be able to agree a plan with you that helps you to still access therapy.