REFERRAL

Refer for Counselling Support

At Talk Support Mental Health Charity, we provide confidential and compassionate counselling services to individuals who are struggling with emotional, psychological, or life challenges.
If you or someone you know could benefit from counselling, you can make a referral using the form below. We accept self-referrals as well as referrals from GPs, schools, community organisations, and other professionals.

Our Counselling Services Include

  • One-to-one counselling /CBT for adults and young people
  • Online and telephone counselling
  • Support for anxiety, depression, grief, trauma, relationship issues, and more
  • Affordable and donation-based sessions for those on low income

Referrer Details


Client Information


Emergency / Next of Kin


Presenting Issues / Reason for Referral


Relevant Background Information


Client Preferences


Consent and Confidentiality

By submitting this form, you agree to our terms and privacy policy

What Happens Next

Once we receive your completed referral form:

  1. Our team will review your information within 3–5 working days.
  2. A member of our intake team may contact you for further details or to discuss the best type of support.
  3. You’ll be matched with one of our qualified counsellors or trainee counsellors, depending on your needs.
  4. We’ll arrange your initial assessment session, either online, by phone.

Confidentiality Notice

All information shared with us is treated with the utmost confidentiality. We only share information if there is a risk of harm to yourself or others, or when required by law.