If you would like to refer yourself, or you are a health professional wanting to refer someone else, please go to our Referral page to complete the relevant form.

If you would like to make contact with us about any other subject, please complete and submit the form below and we will get back to you

Remote Counselling Agreement
Please read our Remote Counselling Working Agreement and confirm you have understood it to proceed with request.
Privacy Policy
Please read our Privacy Policy below and confirm you agree to proceed.

At DorPIP we take you privacy very seriously and you can read our Privacy Policy below. 

By completing the form above you are giving permission to DorPIP to store the data provided and contact you should that be required/requested. Please note that your personal data will be transmitted and stored securely, will not be shared with a third party and will only be used by DorPIP for the purpose described. Should you require a copy of your personal data that you have previously submitted or require us to delete your personal data that you have previously submitted to DorPIP then please email us at [email protected].

You can download our legal policies and forms with the following links: 

Privacy Policy 

Cookie Policy 

 Acceptable Use Policy

Website Terms & Conditions 


Safeguarding Policy

Our Commitment to Families

Client Confidentiality