Once we have received your referral form from we will be in contact to confirm that we have placed you on our waiting list. If the person being referred is not the main point of contact please complete these details in the section below and we will use those details to make contact with you. When referring another person please ensure that you have already spoken to them about the referral and have got their permission to refer them. We will not accept a referral if you have not made them aware. If you have any questions please contact us at 121@hartvolaction.org.uk or phone 01252 815652. We will normally contact you by email. If you wish to be contacted in a different way please select your preference below.
All information provided on this referral will be kept securely within 121 Youth Counselling and will not be passed on to any third party without permission unless there is a concern for the safety of the young person or someone that they know (please see our privacy notice for further information
You can read our privacy policy here