If you  or someone you love is struggling and 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 and then email it to admin@lighthousecounselling.org, or post  it to:
​The Lighthouse Centre, 
24-36 Salop Street, 
Dudley, 
DY1 3AT. 
 
We will get back to you within 24 hours.