Referral Form

Please ensure you have read our How We Work page before completing the form below.

Currently our waiting list is approximately 3-4 months, and we shall be in touch when an appointment is available. If you are looking for support in the meantime, please see our Useful Links page, or consider our Single Session service.

Any information submitted via our online referral form is confidential and stored securely by Kaleidoscope Counselling Scotland in line with our Confidentiality and Data Retention Policy. Your information will be used only for the purpose of accessing our services.