Walk and Talk Referral Form

If you would like to refer yourself or someone else to the Walk and Talk Counselling Service please complete the referral form below.  If you are referring another person please ensure that you have their permission to do this before completing the form.

To refer to this service the person being referred must meet the following criteria:

  • Be aged 18+
  • Live in the Hart or Rushmoor District
  • Must be committed to attending every week for up to 10 sessions
  • Must not be receiving Counselling elsewhere
  • Must be available on a Friday between 10:00 and 13:15 for sessions

We will email the referrer to confirm receipt of referral within 3 working days. If you haven’t heard from us within this time please email 121@hartvolaction.org.uk to make sure we have received your referral.

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