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"I'm not perfect.. But I'm  enough."

Carl Rogers

GP Referral

(PLEASE NOTE that we no longer accept faxed referrals)

Young People aged 12-25 who want to access Counselling at Open Door and have a Birmingham GP must be referred by their Doctor. 


If you are a Birmingham GP located within one of the following CCG’s:


Birmingham South Central

Birmingham Cross City

Sandwell and West Birmingham (West Birmingham ONLY)


and you wish to make a referral for Counselling for a 12-25 year old please complete the one of the forms on the right of this page. 

A word doc form/pdf is provided on this page for completing and sending by secure email to: .  A hard copy should also be sent in the post.


Please ensure you complete all sections on the form. 


Once we have received the referral from you:

  • we will acknowledge receipt of the referral

  • place the young person on our Waiting List

  • offer six sessions of Person Centred Counselling

  • we will notify you once the young person has ended with us

  • we will share with you any safeguarding concerns that may be identified


If you have any questions please contact the Agency on 0121 454 1116/1118 or Carmel (Director of Services) on 07702 415419.

Our email address for secure sending of referrals is :