Please do not use this form if you are referring on behalf of someone and can genuinely afford to pay for counselling. You can find a list of all over 50 counsellors (currently within a radius of 7 miles) who offer counselling for young people by using this link, BACP.

Referral Form for Counselling Funding

Currently, we are only providing funding for counselling for young people, aged 13-18 and living in Gravesham.

Please note: we cannot take referrals unless the young person is aware and has agreed to take part in the counselling process

Details of the person wishing to receive counselling (use drop down options)

*Subject to availability


Referrer’s details (if referring on behalf of someone else)

Once submitted you will receive a response within 7 days. Please check your mail and junk folder.

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