Referral Forms

At Trust House Lancashire, we accept self-referrals and referrals from all agencies.


We offer the following services

  • Counselling
  • Well-being Support
  • Family Support
  • CYP Counselling
  • Play Therapy


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.

 Children, Young People’s and Family Referral Form 

Referral Form for Adult Services

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