Working with Dr Sharon Ladak Complete this booking request form, if you require any of the services below. What would you like to book? (please select only one option): We will be in contact with you to explore the availabilty for this work. Therapeutic intervention sessions with Dr Sharon Ladak (£95/session) - please note inital session with parents is £110 Psychological assessment with Dr Sharon Ladak (£350 - £700 dependent on concerns) For teachers - a school session with Dr Sharon Ladak - small group training/ individual work with students - fee on request Court work --- not currently available Tribunal processes --- not currently available Your name * First Your name * Last Relationship to child * Do you have parental responsibility? Yes No If you are school staff, do you have parental permission? N.B. parental permission not required for staff supervision or small group training Yes No Your email * Your mobile number * Local Authority you live in/the child goes to school in? * e.g. Leeds, York, Wakefield Where is the child educated? At school At home Off-site provision What nursery or school year is the child in? Note any additional information (previous support, any other professional currently involved, child’s view of support needs) Areas of concern Emotional wellbeing and mental health Grief and Loss Academic Performance Family problems or family change Independence Communication and peer relationships Behaviour Self-esteem and self development Developmental delay or difference I don’t know Other (comment below) Thank you for completing the form. My normal practice days are Tuesday and Wednesday. I will endeavour to get back to you as soon as possible. Best wishes,Dr Sharon Ladak The Candid Psychologist, Dr Sharon Ladak, offers clear, honest and straightforward advice, focused for your child or teen.