Request Counselling

If you would like to request a Counselling service, you can download our Counselling Referral forms by clicking the buttons below.

Please complete the relevant counselling referral form, you can either email to, or post to

​The Lighthouse Centre, 24-36 Salop Street, Dudley, DY1 3AT. 


We will get back to you within 24 hours. 

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