Sexual Trauma & Abuse Restorative Therapies

Advice & Support Line
01962 868 688

Self Referral
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Your Details

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(Once you answer this you will be asked for your email address, this is only required if you click yes it is safe to email.)
Ethnic origin
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Please indicate diagnosis
Have you received a service from local mental health services within the last 12 months?
Does this referral relate to sexual abuse that occurred recently (within last 12 months), non-recently (more than 12 months ago) or during childhood (under 14)? *

Emergency Contact details

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GP Address
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Referral Details

Service Required
If you think you might want counselling then please select the option above that would best suit you. If you really have no idea what you want then please select 'No preference'.
I would prefer my counselling to be conducted via *
Due to Covid-19 most assessments are currently being undertaken remotely, please indicate your preference above

(Google, Winchester Council, Word of Mouth, etc)

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For full policy please see:
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Call our Advice & Support Line on 01962 868 688 or 01962 864 433

Anonymous SMS Text helpline service: 07860 027 793

Available 24 hours


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