Welcome to our referral page

Use this form to make a referral for yourself or someone else. You can also call our service on 0115 891 8456 (option 3) to find out more information.

We support LGBTQ+ people of any gender or sexual identity aged 18 and over in Nottinghamshire. You can use the form below to refer yourself or someone else – as long as you have their permission.

Step 1

Fill out this form

Step 2

After filling in the referral form, book your initial free assessment with our team.

All data provided will be kept in the strictest of confidence and in line with our GDPR policy. 

If you’d like more information about counselling, including what happens in an assessment or your first session with your counsellor click here.