Welcome to the SRASAC Counselling Registration Form

Counselling can be a rewarding and life-changing process which supports healing from trauma, but it can also be demanding and de-stabilising at times. For this reason, the SRASAC counselling service is not suitable for everyone, as a stable foundation is needed for counselling to work safely.

We have published our criteria for the counselling service, which you can view here:


Please ensure you have read these before completing the form to check you are suitable for the service.

If you have any questions, or need help from us to complete this form, please contact our Information and Support Line on 07517 100 757. It will take approximately 10 - 15 minutes to complete this form.

The current waiting time from your initial assessment to start of counselling is approximately 6-12 months depending on how you choose to access your counselling.

Please note that form below is not compatible with our Recite accessibility and translation software. If English is not your first language and you need to translate the form or use our accessibility software to complete it, please use this alternative version of the form.