Counselling referral

To make a self-referral to our counselling service, just fill out the form below. Your request will be processed the following business day.

For urgent requests please call 0508 664 981. If this is an emergency, please call 111.

Please be assured that the information you give is confidential to Vitae.

To review the profiles of Vitae's Counsellor team, please click here

Referral form

 Phone
 Txt Message
 Email
 Work related
 Personal
 Combination work/personal
 Yes
 No
 Yes
 No
 Yes
 No
 Yes
 No
 By Telephone
 By web app (Zoom or facetime)
 Yes
 No