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Request Counselling

In order for you to be added to our waiting list, please complete the information below.
This information is collected securely with the sole purpose of adding you to our waiting list and ensuring you see a counsellor who meets your needs. We keep your data securely in accordance with GDPR legislation.

Please see our privacy statement for details.

ABOUT YOUR COUNSELLING

How would you like to receive your counselling?
Do you have a counsellor preference?
Male
Female
I don't mind
How did you hear about Youthline?
Have you been to Youthline before?
Yes
No

Appointments

We offer appointments Monday to Thursday 3pm - 9pm, Friday 4pm-7pm and Saturday 10am – 1pm.  We see clients on the same day and same time each week. 

Please select the times that will work for you each week.