Counselling Service Referral Form

Unfortunately, we are unable to process any new counselling referrals for the remainder of this academic year. However, please complete the below form, and a member of our Safeguarding team will reach out to discuss alternative support options available to you.
In the meantime, we encourage you to access Togetherall.com, a free and confidential mental health support platform available to all students, 24/7.
We’re here to support you. Don’t hesitate to reach out.

Counselling Service Referral Form

Name
MM slash DD slash YYYY
Referral method into College Counselling Service
GP Address (if known)
This form will be seen by the Counselling and Wellbeing team and you will be used to contact you for appointments with the service. If we are unable to contact you by the means given above, we will use your personal contact details on the college system. *Please be aware that if you do not consent we may be unable to process your referral.*