Wellbeing Self Referral Form


This electronic form can be used by individuals wanting to refer themselves to the Unity Centre. Completed forms will be picked up by our Wellbeing Officer, who will arrange for you to attend an initial meeting with us. During the meeting, we will discuss your needs in more detail before drawing up a support plan and agreeing which services you’d benefit from using. You can use this form to refer yourself to our Services.  



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Contact Us

Unity Group Wales

Unity LGBT Centre
High Street

Tel: 01792 346299 
E-mail: info@unitygroup.wales

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