Here you will find referral forms for the services we provide to people who live in, are registered with a GP in or who attend a school in the Metropolitan Borough of Knowsley, as well as for our AMPARO service, which is available to people living or working in Cheshire & Merseyside (except for Liverpool and Sefton) and Suffolk.

(If you do not meet any of these criteria, but would still like to book sessions, please visit this link to see details of our charges and booking forms.)

There are separate forms for professionals to make a referral and for those who want to refer themselves.

These may be printed out for completion and posted back to us, or can be downloaded, completed and e-mailed back to us.

Please select the form for the service you are referring to:

Adult Counselling 

Professional referral 

 Self-referral


Children and Young People's Counselling

Professional referral

Self-referral

    


AMPARO 

Professional referral

Self-referral

     


If you have any queries about our referral process or if you need help completing these forms, please contact us for assistance.