Counselling at St Peters House

​If you would like to request counselling at St Peters House for a client please fill in the form below.

We only accept Agency Referrals for Individual Counselling.  If you clients are interested in Couples Counselling please encourage them to read the details about our service (including payment information) and put in a request for counselling from our website

If possible, please complete this form with your client present so we can obtain all the
information required for proceed with the referral. Thank You.​​