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

Please note for Covid-19 Protection Framework:

We are currently at Covid Orange setting: Sessions may be be remote (video/ telephone), with some variation for region and counsellor circumstances.  There may be delays with face to face bookings.

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

 Phone
 Txt Message
 Email
 Yes
 No
 Work related
 Personal
 Combination work/personal
 Yes
 No
 Yes
 No
 Yes
 No
 Yes
 No

Some of our counsellors only offer face-to-face sessions to fully-vaccinated clients, wearing a mask. They may ask you for proof of vaccination. 

 By Telephone
 By web app (Zoom or facetime)
 Face to face
 Yes
 No