Welcome to our online booking form to refer children and young people. By submitting the information below, our team will be able to contact you with further information and our available appointments. 

Please Note: This form is for an adult to refer children and young people under the age of 18 only. If you are below 18 , you will need to be referred by a parent or guardian. If you are an adult, to refer yourself, yourself and your partner or your family, click here.

Please check you have read about us and our costs before booking in.

 

Details of Child or Young Person you are referring:

  

Your Details

Please provide the details below to allow us to contact you about the child or young person's appointment. 

  
MorningAfternoonEvening
Monday
Tuesday
Wednesday
Thursday
Friday

Please Note: By requesting to book with us, you will be offered an appointment based on your requirements. There is no obligation to accept this appointment and all information provided is strictly confidential.

Were you looking for something else?

Abusive Relationships

Sometimes relationships aren’t happy, healthy or safe. We work with men and women who feel that they may be abusive in their intimate relationship.

All Services

Not sure which service is right for you? We work with people every day in all types of situations and we know how complicated life can be. Click here to view all our services.

Family Life Help

Families come in all types, shapes and sizes. Families can be wonderful yet families can also be complicated.

Feeling Alone

Sometimes we all need someone to talk to so that we can feel less alone. Sometimes you need help to talk over issues and think about different approaches.

Send us a Message

TLC_ICONS