Make A Referral

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Make A Referral

The form below will allow you to self-refer to Lifelink or refer someone else you think might benefit from our services (just click 'Refer Somebody Else' at the top of the form). We will do our best to get back in touch following a referral within two working days. Please read the guidance below before completing a referral.

Lifelink is...
Lifelink isn't...

A service to help with any issues you are experiencing to prevent them from getting worse and requiring more intense support or treatment.
A service for support with mild to moderate mental health issues, such as, anxiety, depression or low mood.
One to one counselling support which can be offered in person or over the phone, daytime or evenings in one of our venues across Glasgow.
A provider of wellbeing workshops to equip you with information, tools and techniques to help you manage stress on an ongoing basis. If you are interested in attending these, there is no need to refer, simply book a place via our courses page here.
A busy service with a number of clients on our waiting list. In order that we can help as many clients as possible, we have a cancellation policy. If you need to cancel or do not attend your first appointment, your case will be closed, and you can re-refer yourself back to us after seven days. For second and subsequent appointments, clients are permitted one cancellation per course of counselling. Any additional cancellations or missed appointments will result in your case being closed and will require you to wait a period of 12 weeks before referring back in to our service.

A provider of open ended support – if you are assessed as needing longer term counselling, we will do our best to support you in accessing another more appropriate service.
A service where we diagnose people, i.e. with PTSD, Bipolar disorder, Personality disorders, etc.
A crisis service or telephone counselling session which has not been planned.
Appropriate for people who are already accessing services elsewhere, such as counselling or psychiatric services (if you are seeing a CPN, Psychiatrist or any other mental health service it is not appropriate for you to access Lifelink at this time).
A service for people with a significant current level of addiction.
A befriending service or social, practical support, e.g. advocacy or help with housing or financial issues, report/letter writing to support welfare claims.
A support service for more severe trauma or long term historical issues.

Questions marked * must be completed

Name *

Date of Birth *

Contact Number *

Reason for Referral *

Do you have a mental health diagnosis?

Have you considered or attempted suicide at any time in the past 12 months? *

Are you currently considering suicide? *

Are you currently receiving treatment or support from any other organisation?

Do you require a language interpreter or interpretation in British Sign Language?

Language/Interpretation Required

For BSL users only - Are you registered with Contact Scotland? (this is Lifelink's preferred form of contact)

Yes
No

Address *

City *

Post Code *

How did you hear about our service?

Please complete the below

I confirm I have read and understood Lifelink's Cancellation Policy (above) and Privacy Policy (Privacy & Cookies) and consent to my personal data being used in line with the principles therein. *

Questions marked * must be completed

Client Name *

Client Date of Birth *

Client Contact Number *

Client Email

Reason for Referral *

Does the client have a mental health diagnosis?

Has the client considered or attempted suicide at any time in the past 12 months? *

Is the client currently considering suicide? *

Is the client currently receiving treatment or support from any other organisation?

Does the client require a language interpreter or interpretation in British Sign Language?

Language/ Interpretation Required

For BSL users only - Is the client registered with Contact Scotland? (this is Lifelink's preferred form of contact)

Yes
No

Client Address *

City *

Post Code *

Consent of client acquired *

Your Name *

Your Organisation

Your Relationship to Client *

Your Email

Your Telephone Number *

Any Additional Information

How did you hear about our service?

Please complete the below

I confirm I have read and understood Lifelink's Cancellation Policy (above) and Privacy Policy (Privacy & Cookies) and consent to my personal data being used in line with the principles therein. *

Our Services and Resources

How We Can Help

At Lifelink, we offer services to help adults and young people be healthier and happier wherever they live, work or learn. We also offered tailored services to business who want to improve the wellbeing of their employees.

How We Can Help

Helpful Materials

Self-care is an important part of improving your mental health and wellbeing. We all need to make time and space for ourselves to order our thoughts and close the door on demands and distractions.

Helpful Resources

Courses & Workshops

Our range of courses help you improve your mental wellbeing by providing you with the tools and skills to understand your emotions better, deal with stress more effectively and develop relaxation techniques.

Courses & Workshops