Referral forms.
Find the right form for the service you need, then send it back to us by email. We accept both self-referrals and referrals from professionals and we'll be in touch.
NOT SURE WHICH FORM?
Speak to someone first, it's free 020 8577 6059
Lines open Mon–Fri, 9am–5pm. Confidential. Multilingual support available.
Trending Stories
If you'd rather talk to someone before filling anything in, call us on 020 8577 6059 — we'll guide you through the right service.
Three short steps from form to first call.
If you’d rather talk to someone before filling anything in, call us on 020 8577 6059 — we’ll guide you through the right service.
Choose the right form
Pick the service that matches what you're looking for. Each form lists who it's for and where it's available.
Download & complete
Open the Word document, fill it in (a few minutes is enough), and save your copy. No need to worry about the layou
Email it back to us
Attach the completed form to an email and send it to the address shown on the card. We'll respond within two weeks.
Services
SERVICE AREA
Mental Health
Mosaic Minds Hounslow
Open for referrals
Free counselling for adults from minority ethnic communities in Hounslow, in the language you think in.
Email to:
Mosaic Minds Hillingdon
Open for referrals
Free counselling for adults from minority ethnic communities in Hounslow, in the language you think in.
Star Centre
Open for referrals
Community mental-health support and group-based recovery activities at our Star Centre site.
Email to:
SERVICE AREA
Domestic Abuse
Ascent
Open for referrals
Casework, advocacy and counselling for women experiencing domestic abuse, delivered with the Ascent partnership across London.
Email to:
DV Aftercare Recovery
Open for referrals
Aftercare recovery counselling for those leaving an abusive relationship, rebuilding confidence, safety and routine.
Email to:
Star Centre
Open for referrals
Community mental-health support and group-based recovery activities at our Star Centre site.
Email to:
SERVICE AREA
Housing
Harrow Floating Support Service
Open for referrals
Tenancy sustainment and homelessness prevention for people at risk of losing their home in the London Borough of Harrow.
Email to:
DV Aftercare Recovery
Open for referrals
Aftercare recovery counselling for those leaving an abusive relationship, rebuilding confidence, safety and routine.
Email to:
