For referrals please fill in the form below

If you are sending a referral on behalf of someone else, please leave your details of the organisation you are referring from and contact details in the 'referred by' box. 
For self-referrals, please state 'self referral' in the 'referred by' box.
Please be aware that our current venues are all in Trafford. Clients will need to be able to attend at least one of the following venues for counselling sessions: Sale Library, Urmston Library, Altrincham Library, Trafford Town Hall, Partington Library.