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Referral Form 

We are not a crisis service. Go to the Crisis Support page for sources of help, including NHS 111

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Please complete the form below if you would like to access our brief counselling services in Ryedale or Scarborough

or our chargeable Options service. ​​

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Fields marked with* must be completed.

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Self Referral
Can we leave a message on your phone
Appointment Preferences
Thanks for submitting!
 
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