Education Professional Referral

To support you in completing the referral, you will need to have all the required information relating to the CYP you are referring before accessing the link.

Please note, the form cannot be partially saved, so you will need to complete and submit the referral in one go.

It is important that before submitting the referral for a child or young person, that you share Noah's Ark Centre's Data Privacy Notice (click here to view and download) with a person with parental responsibility or the young person themselves if they are over 15 as you will be asked to confirm that you have done this when making the referral

Please ensure that you select the correct option (see below) from the drop-down list in the field “Which service are you referring to?” as this may delay the referral process.

  • ‘Primary School Counselling’ – for purchased weekly counselling sessions, as per a current Service Level Agreement.
  • ‘Secondary School Counselling’ – for purchased weekly counselling sessions, as per a current Service Level Agreement.
  • ‘THIS (Y5-6)' – for allocated Therapeutic Interventions in Schools sessions for years 5-6 only.
  • ‘THIS (Y7-9)’ – for allocated Therapeutic Interventions in Schools sessions for years 7-9 only.

Referral forms must be completed at least 2 working days prior to a CYP seeing a therapist.

Once a referral has been submitted, please notify the allocated therapist (s) delivering sessions in your school.

If you have any questions regarding the online referral system, please contact the School Counselling Coordinator or the Noah’s Ark Centre.