Counselling Referral Form

At TRC we want to be able to provide the right help for you, and unfortunately and under some circumstances this will not be our counselling service. Before completing the form please go through the following checks. 

If you are currently experiencing a mental health or emotional crisis and in need of urgent help, counselling is not the right kind of support. Please call the 24-hour Mental Health Matters Helpline on 0800 107 0160 and a trained advisor will help you.  

We cannot offer counselling while you are seeing another counsellor or psychological therapist. You will need to end or suspend other therapy, or if it is time-limited we may be able to hold a place for you until your therapy has ended.

We ask counselling clients to attend regular weekly sessions in person at TRC’s centre in the Trafford area. We are now able to offer counselling via telephone or online.  Most sessions are held on weekdays, however there are a limited number of evening slots available, for which there may be a longer waiting list.

Our service relies solely on external funding and as such voluntary donations at the end of therapy are readily accepted.

There is a very high demand for our service and unfortunately this can mean a waiting list of up to 6 months. The TRC helpline is open Tuesdays and Thursdays between 6 p.m. and 9 p.m. and on Sunday between 6 p.m. and 9 p.m.

Helpline Service – Trafford Rape Crisis for additional interim support.

Our Live Chat service is open on Tuesday between 6 p.m. and 9 p.m. and on Friday between 11 a.m. and 2 p.m.

Live Chat – Trafford Rape Crisis

Thank you for completing the check list. We take your privacy seriously and are committed to compliance with GDPR. Please see our Privacy Notice for more information about this. 

You can now enter your personal details in the form below, or download and complete the form before emailing it to us at

Please note we can only offer counselling to women aged over 18.


Counselling Self-Referral for Trafford Rape Crisis

We will contact you within 14 working days to arrange an assessment, or if we are not able to offer you the right kind of help we will contact you to tell you about what help is available.

If you need to contact us for any reason, you can email or call us on 0161 968 2820.