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Teen Counselling Referral Form

REFERRAL FORM

What is your relationship to the person being referred?
If you are a Social Worker, please fill in your details below:
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Child Protection Statement

We provide a confidential service. However, if you give information which suggests that a child or adolescent is at risk of abuse or neglect, or that they have been hurt in the past we will contact TUSLA with this information. Talk to us if you are not sure if this refers to you

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Corporate Support

Crosscare is working with businesses to make real and positive changes to those most in need in.

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