1 Please let us have your contact details
Title

First Name
Last Name
E-mail
Mobile Number
Work Number
Home Number
I found Lacap by?
Date of Birth:      
 

2

 Standard or low fees?

I am applying at:       

 
3

Your income declaration

  
Tell us your income here:        £  
  Click "calculate fee" & the box
below will automatically load! 		 
 
 
Your fee will be: £0.00  
The fee has the following components:
The administration costs are: £0.00
The therapists receives: £0.00
This much goes to the low fee work: £0.00

 4

Click on the button to go to the therapist's diaries.
 
NOTE: Because most private therapists charge in excess of £60.00 per meeting, we may ask for proof of income if you are self-declaring your income below £29,000 a year.