This is a third party referral form for Lancashire LGBT. This form is for clients who are:
- aged 18 and over
- wanting to receive support via the counselling service
The information which you give will be used in accordance with the General Data Protection Regulation. We will not share any information that would identify anyone unless there are safeguarding concerns. The information will be kept securely and will be kept no longer than necessary.
With all our referrals, we am to be in contact with you and the client within 2 months. We are experiencing a high level of referrals at the moment so expect this period to be extended. We apologise and will be in touch as soon as possible. Your clients place on our waiting list is not impacted by this wait.
Please note, we are not an emergency service.
If your client is seeking immediate support with their mental health please contact 111.
Please note you will need the client being referred with you to complete the mental health assessment part of the referral.