Helping young people find their voice
This form should be filled in by the person who requires counselling. If you prefer we can fill in your form with you over the phone. Please phone us on 01923 239495 or 07444 768078
If you feel your needs are high and you require an emergency assessment please contact us on one of the numbers above.
Please be aware that Signpost does not currently have staff to answer your calls or emails on Fridays, Saturdays and Sundays. We will get back to you as soon as we receive your contact details and no later than 72 hours/3 days.
If you require immediate help please contact the following services below or seek advice from your GP.
If these are not options for you (it is a weekend and you can’t see your GP) go straight to A&E at your local hospital where you can be seen by the assessment team.
Morning 10-1Afternoon 1-4Evening 4-7
Application form for new clients
Assessment and Issues
Please mark all boxes which apply
All data will be stored responsibly and according to GDPR legislation and only for its intended purpose.