Thank you for reaching out. This form will help us understand your needs and match you with the right counsellor.
All the information you provide is held securely and only seen by authorised staff to allocate you to a counsellor. You can find more in our Privacy Policy.
Please complete this form as fully as possible. If we have to come back to you for more information, it may slow down you getting the counselling you need.
Please be aware that we are not a crisis service, and there are also some serious mental health conditions requiring medical treatment that we cannot provide support with. Please see our Access Criteria for certain issues we cannot provide support with.
Please note: We are an adult mental health service