Application for Therapy

To set up an appointment with a therapist at the Collective, we require you to fill this brief assessment form. Please click Submit at the end. Once we receive your form, we will get in touch with you to set up an appointment.

Patient Information

Alternately, you may download the form HERE and send it to us at or

Sometimes our response may go into your spam folder. Kindly check your Spam folder. We usually respond in 48 hours, unless we're on leave, in which case it may take upto two weeks.

If you have any other queries, feel free to write in to us at

Note: if you haven't received a response from us for more than two weeks. Please assume we have not received your form, and write us an email on the above email.