ANONYMOUS Consultation form

Fields marked with an asterisk(*) are mandatory

We use the Ginlo app as a secure chat environment. This makes it possible to create and use an anonymous chat room so that we can chat safely. All you have to do is download the app and set it up. You should use a pseudonymized display name - this will be passed on to us when chatting.
Please enter your Ginlo ID here so that we can reach you.
Urgency*
How urgent is/are your worry/anxiety/depression/etc.?
Who would you prefer to communicate with?*
If possible, this person will then communicate with you.
Privacy policy*