Referral Form 

Please note, we are not a crisis service, if you need immediate support you can contact:

Samaritans on 116 123  or  North Yorkshire Out of Hours Mental Health Helpline 0333 0000 309

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The waiting list for our brief counselling service in Scarborough is currently closed - please do not use this form to refer to this service.

Fields marked with* must be completed.

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