Counselling referral

We now have a single referral form for the services we provide to adults, young people and children who live in, are registered with a GP in, or who attend a school in the Metropolitan Borough of Knowsley.

You can also use this form for CYP Bereavement/Loss & Family Breakdown referrals for the Wirral & St Helens areas (a project funded by Children in Need). This may also be used for our VIDA Occupational Health service for clients in or outside of the borough.

If you do not meet any of these criteria, and / or you would like to make a referral to our private clinic, please visit this link to see details of our charges and booking forms.

If you have any queries about our referral process or if you need help completing the form, please contact us for assistance.

You can download a copy of Listening Ear’s Privacy Notice here. This contains information on why we collect your information, what we use it for and your rights in relation to your data. To request access to your personal data, a correction or deletion, please complete this form and return it to us using the details provided.