Enquiries: 0845 8387518
"Counselling services for all.."

Self Horizons Referrals

Other healthcare professionals and support agencies may want to refer people to our service.

If you would like to refer someone to our services, please complete the following secure referral form or download our printable form here and post it to us:

 

Your Name (required)

Your Email (required)

Clients Name (required)

Clients Address (required)

Clients Contact Telephone (required)

Clients Contact alternate Telephone

Is the client ok to have messages left on the above numbers?

Referral Notes (if applicable)