Self Referral Form

Hello and welcome to Youth Talk.
At Youth Talk (YT) we’re here to listen to and support you – about whatever’s worrying you. We offer confidential help to young people aged 13 to 25 years (last referral age 24th birthday) in St Albans and surrounding areas. See our website for details about the help we offer and our catchment area.
Please complete this form yourself, or telephone YT and someone will help you with this. We are open Mondays to Thursdays from 10.00 am to 7.00 pm, and Fridays from 10am to 5.00 pm. We will respond by phone within three working days.
* denotes a mandatory field.

Personal Details

Permission to Contact

We will need to contact you by phone and will send information and appointments by email (be sure to check your spam folder) and SMS (text).
The main method of contact is email - please remember to check these
In order to provide our service, we need to hold some details about you. Information about our data policy is available on our website. By submitting this form you are agreeing to Youth Talk holding your information.