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Get UK Its Your Choice Confidential Counselling Referral Form 2017-2024

Il Address: Date of referral: Worker completing referral: Which School or College do you attend? tick Is it OK to: Leave a message on the telephone numbers you have given? Identify ourselves to your parents / carers / partner etc on the phone? Leave you messages via email. Mark envelopes Private and Confidential if we write to you? Who referred you to It s Your Choice for counselling? .. (if it is a professional please note there name.

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