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:

10 hours ago
RT @Sharon_TLC: With the current uncertainty, many of us are still spending a lot more time at home. For some, home isn’t a safe place. On…
4 days ago
We couldn't agree more! What a heartwarming news story to share onwards for our Friday #safehealthyhappynewshttps://t.co/KMFFDXuCXV

Unremarkable & Amicable: My Experience of Separation Guest Blog

Read more

Why Have Counselling? Busting 10 Myths & What to Expect

Read more
5 days ago
@icanweb Thank you for sharing 🧡Head over to our Instagram for more details https://t.co/3ra61uBtoS
5 days ago
We’re #allinthistogether. We were with you back in March & we're still with you now! This journey has been no mea… https://t.co/xl9438Q6Ts
6 days ago
Joining our Insta competition judging panel is.... @BethPowell1 from @CreativeCityGM 👏 Beth is the Managing Dir… https://t.co/hQHW7Y3qjU

Puppy Love: What Getting a Dog has Taught Me about Myself & Relationships

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