Venture Trust Outdoor Therapy Referral Form

Outdoor Therapy: This service is for those in need of counselling from qualified therapists. Participants will meet counsellors for one-to-one and group sessions outdoors in parks and green spaces. This service is currently only available to:

- Young people (16-24) from Fife
- Anyone (16+, including ex-service personnel), in the following local authorities: Glasgow and North Lanarkshire.

We have currently had to pause accepting referrals from East Lothian, Edinburgh, Midlothian, West Lothian. due to exceptionally high numbers being referred to the service, we hope to reopen in April 2024.

Venture Trust takes our users security and privacy concerns seriously. All data submitted via this form is encrypted from end to end by SSL. It cannot be intercepted in transmission and once submitted to our secure system it will only be viewed by authorised staff via their unique passwords.

Are you referring yourself to Venture Trust? *

Which Local Authority area do you live in?

Which Local Authority area does your participant live in?

Local Authority *

Are you referring to individual 1:1 therapy and/or group therapy? (Group therapy is specifically for referrals from CAMHS at present)

Individual 1:1 Outdoor Therapy is individual counselling with a qualified counsellor in a greenspace close to you.

Group Outdoor Therapy is a group session with 6-8 participants and a qualified counsellor in a greenspace in Fife. (This is specifically for referrals from CAMHS at present)

1:1 and/or Group: *

Individual 1-to-1 Outdoor Therapy

Group Outdoor Therapy

How did you hear about us? *

Please write below how you heard about us:

Referral date

Day

Month

Year

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