Welcome to our online agency referral form for our Women's Behaviour Change Programme. By submitting the information below, our team will be able to contact you to discuss the programme further. 

Please note: This form is for agency referrals only. If you would like to refer yourself, please click here

Agency Details:

  

Details of the woman you are referring to the programme:

  

Details of the partner/ex-partners of the woman you are referring to the programme:

Current Partner:

Previous partner:

Additional information:

The Importance of Taking Breaks: What does that look like for me?

Read more

Lockdown Me Vs. New Normal Me: What's Changed?

Read more

My Lesbian Wedding: Guest Blog by Joni Fox

Read more
Read more of our blogs here
Read more
Supporting Greater Manchester for over 35 years
Multiple locations
Award winning services
Help over 3,500 residents every year

Send us a Message

TLC_ICONS