Referring for Counselling and Therapy

This form is used by professionals and agency representatives to refer clients to our counselling services. The form is divided into two sections. The first section collects the referrer’s details, including contact information and relevant agency information. The second section is designed to be completed in partnership with the client and gathers information that will help us understand their needs and determine the most appropriate support.

Please ensure all information provided is accurate and completed with the client’s knowledge and consent. The information you share will help our team process the referral and connect clients with the counselling services that best meet their needs.