Use this form to arrange counselling for yourself.
Any counselling referrals submitted on-line between Thursday 7th June and Friday 22nd June will not be processed until wk com Monday 25th June due to availability of counselling sessions. Eligible referrals submitted during this period will be dealt with from Monday 25th June but an appointment to see a counsellor may not be available until the following week.
Please note the counselling service at Yorkshire Mesmac cannot respond to crisis emotional / mental health situations.
If you feel you are in need of crisis emotional / mental health support - contact your GP or tel the national support line of the Samaritans Tel: 116 123 - their telephone line is open 24/7.
Please click here to read the eligibility criteria for your area before proceeding. Our counselling service is only available in Leeds, Bradford and Wakefield.
The information that you give on this form is confidential.
This means that we will not give out details that identify you to anyone
outside Yorkshire MESMAC unless you have agreed for us to do so or if there is
serious or urgent danger to you or anyone else. Please see our confidentiality statement for more information.