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Before you complete this form, please ensure you have read and understood our privacy notice and below privacy statement.
Once you have submitted the form, you will receive an automatic acknowledgement from the council. The council will process your personal information on the basis of its public task. If it is considered you will benefit from therapeutic counselling, your details will be passed onto Adoption Plus who will make direct contact with you. If it is not possible to make the referral, the council will notify you of this and may suggest an alternative service if one is available.
