Self Referral Form

NEECS aims to protect the confidentiality of all clients at all times. By providing details on your self-referral form we consider this confirmation you agree to us using the details to provide you with the service requested. NEECS will only ever use your details for this purpose.  NEECS staff comply with NEECS Confidentiality Requirements.

Short Term and Core Service Waiting Lists are CLOSED. Review of this remains ongoing.

The 16-25 service is OPEN 

Before completing this form it is important to check Your Availability to attend Matches with NEECS appointment times. 

We can't say how long you will have to wait for an appointment with us however be assured we will offer you an appointment as soon as we are in a position to do so, and dependent on your stated availability. After your first appointment,  following counselling sessions will be at the same time, on the same day each week. For some further sources of help click the Directory link. A longer list is available by email, using the Get in Touch link. Please note our limited (Thursday) evening sessions are heavily oversubscribed.

Mondays: 9am to last appointment 12.45pm (4 sessions) plus 16-25 service only 12.15pm to last appointment 4pm (4 sessions)
Tuesdays: 9am to last appointment 4.30pm (12 sessions)
Wednesdays: 9am to last appointment 12.45pm (8 sessions)
Thursdays: 2.45pm to last appointment 6.45 pm (8 sessions)
Fridays: 11.30am to last appointment 12.45pm (2 sessions)

All NEECS staff comply with NEECS Confidentiality and Privacy Requirements.