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Counselling Referral Form

Online & Telephone counselling appointments available within 24 hours

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Appointments are charged at

£40 per session

Gender Required
Please select if...
Which day(s) are you available? Required
Which time(s) are you available? Required
Please confirm if you have a preference on the gender of your counsellor
Please confirm your preferred session method(s) Required

Online & Telephone counselling appointments available within 24 hours

​

Appointments are charged at

£40 per session

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