Register new account

HYA Online Counselling Service is brought to you by Hampshire Youth Access and Solent NHS, providing online counselling to young people aged between 14 and 17 years old who are living, working or studying in Hampshire and to those aged 14-25 living in Southampton and are registered with a Southampton GP. Unfortunately this service does not currently cover Portsmouth.

First, tell us a little bit about you

To get started, let us work out your age

Date of Birth

About You

We need your email to keep in touch

Repeat Email

And please provide a secure password

Password

Password length shouldn't be shorter than 8 characters
Password must contain at least one special character
Password must contain at least one digit
Password must contain uppercase and lowercase letters

Password Confirmation

Some general information about you

Display Name

Please pick a display name that is not your name, email address or a username you use regularly on other sites, so that you feel able to use our online support services in confidence

First Name

Last Name

Tell us your address

Address 1st Line

Address 2nd Line

Address Town

Address County

Address Postcode

We need your contact details

Mobile Phone Number

Home Phone Number

Tell us about your GP

Your Doctor/GP's Name

Your Doctor/GP's Practice

Your Doctor/GP's Address

Your Background

Hampshire Youth Access keeps basic statistics about who is using our service in order to make sure we are meeting the needs of the whole community. To help us with this, please can you us a little bit more about your background.

Tell us about your background

Please describe your ethnicity

Gender

Please describe your gender

Please describe your sexuality

Do you identify as Trans (Yes/No)?

Tell us about your work or education

How would you describe your employment status

If you're a parent/carer, tell us the following

How many dependants do you have?

Tell us about any disabilities you may have

Do you feel you are disabled in any way?

Is your disability

Are you a looked after child (LAC)?

LAC in locality

How did you hear about us?

Heard from another

Register for Online Support

Register new account

First, tell us a little bit about you

Great! You are eligible to sign up.

Sorry, unfortunately you're not eligible for our online services.

Services & Reasons for Registering

About You

We need your email to keep in touch

And please provide a secure password

Some general information about you

Tell us your address

We need your contact details

Tell us about your GP

Your Background

Tell us about your background

Tell us about your work or education

If you're a parent/carer, tell us the following

Tell us about any disabilities you may have

Nearly there.

Register for Online Support

Register new account

First, tell us a little bit about you

Great! You are eligible to sign up.

Sorry, unfortunately you're not eligible for our online services.

Services & Reasons for Registering

About You

We need your email to keep in touch

And please provide a secure password

Some general information about you

Parental consent

Tell us your address

We need your contact details

Tell us about your GP

Your Background

Tell us about your background

Tell us about your work or education

If you're a parent/carer, tell us the following

Tell us about any disabilities you may have

Nearly there.