Request for
Counselling Service
DETAILS OF AGENCY OR INDIVIDUAL REQUESTING:
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Contact Person: Click here to enter text.
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Who has agreed to this referral?
YP Parent OtherName: Click here to enter text.
Name of Young Person: Click here to enter text.
Date of Birth:Click here to enter text. Age:Click here to enter text.Natn/CulturalIdClick here to enter text.
Address for young person: Click here to enter text.
Who is YP living with? Click here to enter text.
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Details of Parents/Significant Adults
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Address: Click here to enter text.
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Email:Click here to enter text.
Name:Click here to enter text. Relationship:Click here to enter text.
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Email:Click here to enter text.
BRIEF OUTLINE OF ISSUES/CONCERNS
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How do you hope this person could benefit from Counselling?
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Other Services Involved with the family:Click here to enter text.
Frank CoughlanCounsellormob0429 031 119tel(02) 6620 1860
Northern Rivers Social Development Council16 Keen St., Lismore
Who can apply?Anyone aged 10 to 24, or their families.
How to Apply:Use this form and email to: or contact us before completing the form to discuss. People can self-refer or be referred by another social-service agency.
How many sessions? Normally 4 to 6 counselling sessions of about one hour each. Counselling may sometimes be extended if there is a particular need.
Will I have to wait for an appointment?It depends on the waiting list. Phone to enquire.
Cost?Free. Funding is provided by the Government Department of Social Services’ Family Relationship Services Program so that people are not prevented from getting counselling because of cost. The program aims to improve the quality of life for Australians and their families.
What happens in a session?Young people or parents can come with any issue for which they would like help. Family problems, mental health, anxiety, depression, anger, relationships, parenting, school, alcohol- or drug-use, are some of the issues people bring. We look for ways to enable you to solve problems where that is possible. The counsellor will also explore with you ways to feel more secure even if external problems cannot be fully resolved. A range of counselling approaches is used, including, for example, traditional “talk-therapy”, cognitive-behavioural therapy, drawing, music, symbol- and sand-tray work, feelings-process work, grief counselling and practical problem-solving.
If counselling at YCNC is not the right solution for you, we will do our best to assist you in finding a suitable service.
Funded by