Notice

Our Advice Centre is open today from 10:00am – 5:00pm

Refer Someone for Paid-For Counselling

Please complete the form below to refer someone to our paid-for counselling service.

We will do our best to get in touch within three working days. Please note that we will make three attempts to make contact after receiving this form.

Because we’re asking you for your name and contact information, we need your consent to hold that information. We hold this information in a secure database. Only No Limits staff with specific permissions have access to it, and we will not disclose it to anyone else without your consent. We do use it for statistical reporting to the organisations that fund us, but that does not contain any information that could be used to identify an individual person.

To find out how we use your data, click here.

  • Refer Someone

Refer someone for paid-for counselling

I confirm that I am happy for you to hold my information

We cannot accept a referral without you giving us your consent for us to hold your information for a limited period of time.

Your relationship to the person

Who would you like us to contact about this referral?

Please let us know what they would like help with:

Please indicate your preferred method of counselling (you can choose as many as you want to) and we will try to accommodate you

Please indicate your preferred days and times of counselling (please choose as many as you can) and we will try to accommodate you:

Sessions are for 50 minutes, starting on the hour. Please note that the last available session on a Friday starts at 4pm.

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You have selected an option that is best dealt with by our therapeutic support services. We will redirect you to the information page about these services, which gives details about getting in touch by phone.

Continue

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You have selected an option that is best dealt with by our therapeutic support services. We will redirect you to the information page about these services, which gives details about getting in touch by phone.

Continue

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We offer services to young people who live in Southampton, Hampshire, Portsmouth and the Isle of Wight. For information about similar services local to you, please visit Find help | Youth Access. Youth Access is the umbrella body for organisations like No Limits and you can search here for a local organisation that can help you.

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We offer services to young people who live in Southampton, Hampshire, Portsmouth and the Isle of Wight. For information about similar services local to you, please visit Find help | Youth Access. Youth Access is the umbrella body for organisations like No Limits and you can search here for a local organisation that can help you.

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The face to face services we offer outside Southampton are limited to school/college outreach and xxx.

Do you want to continue

Yes No

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We're sorry, but we cannot help the person you are referring as they are above our age range.
If you would like us to refer them to another organisation in Southampton who may be able to click continue to complete this form, we will then pass their details on.

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We're sorry, but we can only help young people under the age of 26.
If you would like us to refer you to another organisation in Southampton who can help you click continue to complete this form, we will then pass your details on.

Continue Useful links

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If the young person is not willing to talk to us, then we cannot take the referral. However you can contact us on 02380 224 224 if you would like to talk to a youth worker for advice.

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Without this information you cannot continue.

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Without this consent, we will not be able to respond to you and cannot continue.
Click go back and select yes to continue.

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Without this consent, we will not be able to respond to you and cannot continue.

Go back Useful Links

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Without their consent, or a good reason for you to give us the parent/carer’s own personal information, we cannot let you give it to us. This form will be submitted with the young person’s information and support needs, but without the parent/carer’s information.

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If the young person does not want to have their parent/carer involved in this referral, you will need to pick a different way for us to contact them

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