We now have a single referral form for the services we provide to adults, young people and children who live in, are registered with a GP in, or who attend a school in the Metropolitan Borough of Knowsley.  

This may also be used for our VIDA Occupational Health service for clients in or outside of the borough.

(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.)

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

Counselling 

Referral Form 

 

    


Our AMPARO service is currently available to people living or working in Cheshire & Merseyside (except for Liverpool), Barnsley, Rotherham, Suffolk, Norfolk, Blackburn with Darwen, Burnley and Hyndburn.

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

AMPARO 

Coroner 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.