Self-Referral Form

Use this service to submit your interest in receiving counselling and support from Off The Record South.

If you are an Agency or Professional, please click here

If you have previously been a client of OTR with any of our services, please click here

OTR’s counselling and groupwork services are available for young people aged between 11-25, and their parents, carers & families residing in East and South East Hampshire.

OTR’s family counselling service is available for young people aged between 8-25, and their parents, carers & families residing in East and South East Hampshire.

OTR’s young carers service is available for young people aged 8-17 residing in the Havant Borough area.

Submission takes around 15 minutes.


If you need urgent help or support in a crisis

Off The Record South East Hampshire is not crisis/urgent support. If you need more immediate support please consider the following:

  • Call NHS 111 Mental Health Nurses or 999 in a life-threatening emergency.
  • SHOUT Crisis: Text "SHOUT" to 85258
  • Request an urgent appointment with your GP
  • Attend your local A&E department
  • (Under 18's) Contact Child Line on 0800 111
  • (Over 18's) Contact the Samaritans on 116 123 and for Portsmouth residents can access ‘The Harbour’ service @ Mind - Open seven evenings a week, 4.30pm – 11pm on 07418 364911

Please note we cannot offer counselling to people under an Adoption or Special Guardianship Order. Please contact Barnardo's for further information and support. Other services may be accessed following assessment.

Before you start

You cannot register for this service if you live outside of the UK.

You cannot receive counselling from us if you are already seeing another counsellor / therapeutic services, but you can register for our other services. If you need to know more call 02392 474724



Contact Us

  • Call us on:
    023 9247 4724
  • Email us at:
    enquiries@otr-south.org.uk

  • We are open:
    Monday to Friday
  • We aim to respond to emails within 2 working days. Our phone lines are open every day at different times, if you don't get through first time please leave a voicemail with your phone number and we will respond within 2 working days.