Update 28 April 2022: Please note that our young people’s waiting list is currently closed and we are unable to accept any new referrals. This is a temporary measure and we will re-open as soon as we are able to. We will be reviewing the situation in June.

Please only complete this form if :

• you are aged 14-18 years and would like to refer yourself for counselling,
• or you have parental responsibility for the child/young person aged 4-18 years and their agreement to participate,
• and the child/young person lives in the Harrogate area (within a 20 mile radius around Harrogate).