Self Referral form

Thank you for taking the first step towards support. Please complete this form so I can arrange an initial counselling session tailored to your needs. Your responses will be kept confidential. 

To refer yourself - Click on the link below:

For children and young people:  https://forms.office.com/e/dyGqAkSBXz?origin=lprLink

18 years old and over: 

https://forms.office.com/e/YuHF0jYfrw?origin=lprLink

Alternatively, call my mobile number or message me on WhatsApp to get in touch.