Your PAM Wellbeing structured counselling referral

Your details

First name

Last name

Date of birth

The minimum age is 18 years. If you’re under 18, you can visit our Kooth app for support with maintaining your wellbeing. Click here to find our more and sign up

Email

Phone

Are you happy for PAM Wellbeing or BWC to leave a voicemail

YesNo

How would you prefer PAM Wellbeing to contact you (with confirmation of the referral and reminders about any future appointments)?

EmailText

Are you currently registered with a GP

YesNo

Confirmation of Banking Service

To enable us to make a referral we need to confirm your proof of banking. If you have not already provided this to us previously then please attach proof of your banking service. This could be a copy of a payslip, pension statement, HMRC evidence, written confirmation from your bank or email from work address. If you would prefer to email please send an email (clearly stating this is for a referral to PAM Wellbeing) to help@bwcharity.org.uk

Now that you’ve talked things through with PAM’s emotional support line, fill out this form to see if you’re eligible for structured counselling. Here’s a little more information on the process:

The form should only take a few minutes to complete
You’ll need to provide evidence that you or your spouse/partner have worked for a UK bank
Once you hit send, we’ll check your eligibility and make the referral
You’ll receive an email once the referral has been made, or if we need more information
If it’s approved, PAM will be in touch to discuss your needs
Any initial assessments and following sessions will be free and covered by us

Get started below, or if you have any questions give us a call, or email help@bwcharity.org.uk.

If you need someone to talk to about your feelings whilst you wait for a referral, call PAM on 0800 882 4102.

By submitting your details, you’re consenting for the Bank Workers Charity to pass this information on to PAM. Explore our privacy policy, or PAM’s privacy policy.

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