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Helpline 0800 783 0518

MS-UK Counselling health professional form

Where it is okay to leave messages / Say who we are if we call
E.g. he/him, she/her, they/them
In the event of an emergency/crisis please provide us with the patient's
Please note we will not routinely contact their GP or emergency contact.

About the counselling

By submitting this form you are sending a referral to the MS-UK counselling service. MS-UK collects the personal details of people referring to the counselling service so we can process your referral. We never sell your details to a third party or share them. When dealing with your personal information we will at all times comply with the General Data Protection Regulations, and any other applicable legislation. If your referral is accepted, we will add your information (and the information of the person you are referring) to our database.