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

For Health and Safety reasons, if you feel unwell, or have any symptoms of infection please do not attend face to face sessions. We can make alternate arrangements for counselling either by telephone or video conferencing if required.


Referral form

 Yes
 No
 Yes
 No
 Yes
 No
 Yes
 No
 Phone
 Text
 Email
 Yes
 No
 Work related
 Personal
 Combination work/personal
 By phone
 Online
 In-person
 Yes
 No