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Confidential Referral Form

Before filing in this referral form please take a look at the different services we have on offer and mention these in your referral so that it can be dealt with more effectively.

PLEASE NOTE: Our Counselling Service is currently CLOSED. Please check back in a few weeks to see if things have changed. Alternatively you can approach Talking Shop on 01302 565650, Open Minds Counselling Service on 01302 344192 or alternative counselling services by checking out the Counselling Directory.

Please note that we are not a crisis service.  If you need urgent help then please click here.

If referring on behalf of someone else, please include your name and contact details in the notes section.

Please note that any information you provide will be confidentially stored in line with our Privacy Policy.

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Use this confidential referral form to join Doncaster Mind, alternatively download and print this word version and send it to:

Doncaster Mind
Exchange Buildings
Second Floor
35 Market Place
Doncaster
DN1 1NE

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