Africa Centre Ireland

SELF REFERRAL FORM

We understand the physical and emotional challenges that many of us in the black community are going through, and
Black Therapist Ireland is offering our services to anyone who feels they would like to speak with a therapist
to help manage their mental health and well being.

This limited offer provides six online counselling sessions at no cost to a specific number of participants.
Offer will be given to participants at a first come, first serve basis.

Please Fill The Form Below to make a request.

For any assistance please contact support@blacktherapistsireland.ie

THE INFORMATION ON THIS FORM IS HELD IN STRICT CONFIDENCE.