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 

 our chargeable Options service. ​​

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​The waiting list for our Scarborough brief counselling service is currently closed. Referrals to this service will be returned.

Fields marked with* must be completed.

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