If you would like to refer yourself to the service or make a referral on the behalf of someone else, please download the referral form below

Referral Form v1 Apr2017 Online

 

Send your completed referral form back to us via

Email: info@rothacs.org.uk

Post:      Rotherham Abuse Counselling Service

                Rainbow House

                38 Moorgate Road

                Rotherham

                S60 2AG