Note your interest

Changes services are available for people living in, or registered with a GP, in East Lothian.

This is not a booking form, but a note of your interest. A member of our team will be in touch with you to book an initial appointment after completing this form. You will be contacted within 2 weeks.

This is my first contact with Changes

Full Name *

Date of Birth *

DD/MM/YYYY

Phone Number *

Email *

Address *

Postcode *

Are you interested in our Activities? *

If yes, which activities are you interested in?

Are you interested in Wellbeing Support? *

If yes, which Wellbeing Support are you interested in?

Are you interested in Therapy? *

If yes, which Therapy are you interested in?

Counselling Temporarily Unavailable: Our waiting list has closed from 1/10/24. It will open again in 2025, likely to be 1/4/25 but please check back to see if this changes. Please visit the Urgent Help tab on our Changes website to find links to other sources of help.

Nationality

Gender

Ethnicity

I agree to the terms of the privacy notice *

See our Privacy Notice.