Due to confidentiality, Please make sure when referring you use the correct form, either Self or Professional.
If you are referring through a professional body, you must use this Professional Referral Form. Self referrals please complete below.
After filling out the Self Referral From below, you will initially be contacted by one of our trained counsellors via Email. If you prefer to be contacted another way please specify.
Each counselling session has a full cost of £85. We are inviting contributions of £35 per session payable at the beginning of each session which will reduce your waiting list time. If you tick yes we will be in contact with further information. Otherwise you will be added to the normal SAFA waiting list.
Self Referral Reason