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Registration Form - Online Counselling

If you would like to register for GamCare online counselling, please fill in your details as prompted below.

If you would like a one-to-one chat with one of our Advisers first, please contact the National Gambling HelpLine on Freephone 0808 8020 133 or web chat via our NetLine.

Please note that * indicates a mandatory field. Please also read our Terms and Conditions.

Our service is only funded to provide treatment to those living in England, Scotland and Wales. If you are outside of the UK, please access Gambling Therapy - a free, multi-lingual online service, via

Please note that submissions via this webform are checked between Monday - Friday, 9am-5pm. If you are submitting outside of these times and require urgent support, please contact the National Gambling HelpLine or NetLine.

If you are in crisis, please contact the Samaritans on 116 123, or in an emergency please contact 999.

We will communicate with you to confirm or cancel appointments and for follow ups after treatment. We will generally communicate by email, but there may be time when we need to call or text you. Please indicate the ways you are happy for us to contact you here:
Please provide the name of the householder and the address where these children or vulnerable adults live.
If you are not the gambler, please answer to the best of your ability.

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