• Counselling Referral Form

    We provide individual counselling for anyone over the age of 18. Please complete all relevant sections of this form so that we can process your referral and place you on our waiting list. We are limited by insurance to provide counselling within the UK, and therefore cannot provide counselling to anyone located outside the UK even on a temporary basis. Our service is funded to provide counselling to people within the Aberdeen area only.
  • Cairns Counselling is not an emergency service and cannot provide an urgent response to those in a crisis. If you do not feel safe, or are under threat, or need to talk to someone urgently, there are other services which may be able to help. A list of alternative support can be found by clicking the undernoted link.*

  • https://cairnscounselling.org.uk/wp-content/uploads/2021/11/Information-and-Support.pdf

     

  • Date of Birth*
     - -
  • Gender identity
  • What is your ethnic group, please choose the option that best describes your ethnic group or background
  • Format: (00000-000000).
  • Are you currently receiving counselling elsewhere?*
  • How did you hear about us?*
  • Are you a patient of Woodside Fountain Health Centre or Garthdee Medical Group?
  • Please select all relevant items from the following list to tell us know a bit more about you and what brings you to counselling.*
  • We have a Faster Flexible Service which is provided at a cost of £50 for each session, payable in advance. The payments we receive from these sessions, helps fund us to provide the majority of our counselling by donation for those unable to pay. Please confirm whether or not you wish to access this service:-*

  • We rely upon regular donations to provide your counselling. We would be grateful if you can consider making a regular contribution based on what your resources will allow. Please be reassured that you will have the opportunity to discuss this prior to counselling beginning. The amount and frequency of your donation will remain a choice.

  • Would you like to be kept up to date on Cairns Counselling?*
  • Should be Empty: