Registration Form

Please fill in the registration form and permission to contact form below. You will then be directed to our bookings system.

Please note: You must book your own consultation via the booking system, or contact wellbeing@aru.ac.uk if you're unable to book.

You will not be contacted by the team to arrange an appointment.


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11.11. Mode of Study:

Permission To Contact Form

By completing this form I acknowledge that I give permission to Anglia Ruskin University Counselling and Wellbeing Service to contact my GP/ Psychiatrist and other professionals and share specific information as discussed.

With no consent, contact to be made only when there is serious risk of harm to self and / or others.

Please note that the completion of this form is necessary to access further support within the Counselling and Wellbeing Service. If you have any questions or concerns regarding the completion of this form, please email wellbeing@aru.ac.uk and we will arrange to speak with you about these. 

By completing this form I acknowledge that I give permission to Anglia Ruskin University Counselling and Wellbeing Service to get in touch with my Emergency contact.

With no consent, contact to be made only when there is serious risk of harm to self and / or others.

Confidentiality and Data Protection Guidelines

Please download and read our confidentiality and data protection guidelines before booking an appointment.


By submitting this form you agree for any personal data that you have provided, to be processed/held by Anglia Ruskin University. For information about our privacy and data protection policies, please go to aru.ac.uk/privacy


If you submit your answers you will not be able to return to this page.