Referral Forms

At Trust House, we accept referrals from all agencies including from survivors themselves.


We offer counselling and independent sexual violence advice.


All our staff and volunteers undergo a specialist training programme in order to work at Trust House.


We offer a person centred service meaning we are guided by the client; pacing ourselves to accommodate the client’s comfort level and emotional needs.


Please download our referral forms by selecting the appropriate button below.

Referral Form for Children & Young People’s Counselling

Referral Form for Adult Counselling

Referral Form for Specialist Family Worker

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