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  • Home
  • Survivors
    • Can we help you?
    • Our Counsellors
    • Therapies we use
    • What Others Say
    • Reach out for help
    • Client Area
  • Supporters
    • Support us
    • Donation
    • Volunteering
    • Fundraising
    • Fundraising Guide
    • Corporate Support
    • Legacy Giving
    • FAQs
  • Stakeholders
    • About Break the Silence
    • Meet the Team
    • Our vision & values
    • Our Sponsors, Partners & Funders
    • Impact & Advocacy
    • Our Governance
    • Professional standards & accreditation
  • Training
    • Vicarious Trauma
    • Partner Training
  • Knowledge Centre
  • News
  • Contact us
  • Home
  • Survivors
    • Can we help you?
    • Our Counsellors
    • Therapies we use
    • What Others Say
    • Reach out for help
    • Client Area
  • Supporters
    • Support us
    • Donation
    • Volunteering
    • Fundraising
    • Fundraising Guide
    • Corporate Support
    • Legacy Giving
    • FAQs
  • Stakeholders
    • About Break the Silence
    • Meet the Team
    • Our vision & values
    • Our Sponsors, Partners & Funders
    • Impact & Advocacy
    • Our Governance
    • Professional standards & accreditation
  • Training
    • Vicarious Trauma
    • Partner Training
  • Knowledge Centre
  • News
  • Contact us

Request our help.

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Refer a Client

Break The Silence provide support for residents in East and North Ayrshire affected by childhood sexual trauma.

Please fill out the referral form below and we will be in touch as soon as possible.

We are required to collect ethnic origin and gender data for funder reporting purposes. All data reported is anonymised.
Discussing trauma is highly emotive and could trigger different responses. Are you aware of any information about the survivor/referee which may increase risk to staff. This includes any previous occasions of threatening, abusive or violent behaviour towards professional staff or others.
Due to the confidential nature of our service please be aware that third parties will not be privy to services/appointments or any other information regarding the Client unless the Client has signed a confidentiality waiver.

At Break the Silence, we only collect the information you choose to share with us. This helps us contact you about your appointments or with other information you have asked for.

Having a note of some basic details like date of birth, gender, reason for referral, and health information helps us meet our funding requirements. Anonymised data may be used for funder reports, always with care for your privacy and confidentiality.

By submitting this referral you are agreeing to your data being held as per our Privacy Policy. Under the UK General Data Protection Regulation (UK GDPR), the lawful basis we rely on for processing this information is Legitimate Interest.

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Changing lives through professional support.

Contact Us

Address: Break the Silence, 26 Portland Road, Kilmarnock, KA1 2EB.

Call Us: 01563 559 558
Email Us: info@breakthesilence.org.uk

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