Online Referral Form

Face-to-face appointments may not always be available due to external factors, but you can still use video, online-text or telephone to get help.

So when you fill in the form, if you ask for face-to-face, please make sure you also choose at least one other option you’d be happy to use.

REQUEST FOR COUNSELLING

Links below – please contact us before attempting to access.

Please note that TIC+ is NOT a crisis service.

This form may not be read for several days and there is often a waiting list for counselling.

If you or a child/young person is unsafe or if you feel unable to keep yourself safe, please do not delay getting the help you need, contact the most relevant service:

In an emergency call 999 and ask for help or

Contact the Police if a crime has been committed by ringing 101

Go to the Accident and Emergency (A&E) department at your local hospital or

Talk to your Doctor (between 9am-5pm Monday – Friday) or

Phone NHS Direct by ringing 111 (after 5pm or weekends) or

Samaritans: National Freephone: 116123 (24-hours)

Click here for more national and Gloucestershire helplines.

Click here for more national and Hammersmith & Fulham helplines.

If you are parent wanting support and advice for yourself, you can click here for further details about our Parent Support and Advice Line.

We may need to use the information you have provided us with to verify your identity. It is important that you know and fill in the required information before you make your referral otherwise your referral may not be accepted. By making this referral you are accepting these terms.

The online referral form is only available for those who have contacted us directly already. Once you have contacted us, and have read and understood the information above, please click on your area below to start the online referral process.

Gloucestershire
Hammersmith & Fulham

“I would just like to say a massive thank you to you all at TIC+ for being so supportive towards my daughter. Although it’s only words of thanks, my wife and I really appreciated what you did for us as it has given us a little understanding as to why our daughter felt the way she did and will enable us to help in the best way that we can.

We would never have known how to go about things if it wasn’t for organisations like yours to point us in the right direction.

And a special thanks to Sophie for all her help and support.”

“I’ve come away each week with new ideas and tools to try at home and I’ve made a few new friends with other parents in the group!”  

“It’s helped to know I’m not the only one and that I’m doing ok…”

“This was the best course I have ever been on. It has made a dramatic difference to our life.”

Harry, 10

“My counsellor listened to me, helped me to be more able to cope with problems and made it
fun for me. I got to play games. I got to tell what was happening in my life. It’s great, people
should come here if they have any problems.”

Sophie, 16

“My counsellor listened to me without judging and gave advice on how to help me with my
problems. There was no pressure and I could do it by myself without having to consult family
or friends. It’s been really helpful and I think it’s such an important resource for people to
have access to.”

Charlie, 15

“The counselling made me discover things about myself and that I could cope by using the
strategies my counsellor gave me. I am happier now and life is good. My counsellor was a
really lovely person to work with and I find life easier now I’m able to cope with my anxiety.”