CGL Gateshead

Your Situation

Referrer

Please enter your own details here as the person making the referral.

Personal Details

Please enter details of the person seeking support

Contact

We will only use this to contact you about the service you are requesting.

We will only use this to get in touch about your referral.

Please note, your postal address is required in case of emergency during your support sessions. In exceptional circumstances we may be required to call emergency services to your home. Your counsellor/support worker would only do this if they believed that there was immediate risk of harm to you or someone else at your home.

Referral

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