Referral for counselling

What happens to my information?

Denbighshire County Council collects your personal information to provide you with services relevant to your request. This information will not be shared with any other third party unless the law requires us to do so.

For further information about how we handle personal information, please view our online privacy notice.

  • All fields marked with a * are required.
  • Are you referring yourself or someone else to the counselling service?
  • Your details
  • Your address

    Please enter a Denbighshire postcode and then press the ‘Find address’ button.
    Alternatively, please type in your address below.

  • How would you like us to contact you?
    Tick all that apply.