Adult Counselling Referral Form

Please note that we are not allowed to accept third party referrals under GDPR policy for anyone over the age of 18. If the client is unable to complete this form themselves, please contact us on 01302 360421

To complete the referral process, we need to collect some basic monitoring information. This information is a requirement of our funders and is also used for improvement of our services. Collecting the information is important to help us secure funding, so that we can continue to provide a free service for our clients. The details provided will be reported anonymously.

Statement: DRASACS Management, Support, Advocacy and Counselling Staff include both males and females. All of them are committed professionals whose aim is to help clients regain control of their lives after sexual abuse or rape.