Please complete the referral form below so that we can begin to develop a full picture of your young person and their needs.

Please note that we are currently set up so that our services are paid for by schools and local authorities. This means that we do not accept referrals directly from families.  However, we welcome you to get in touch to work out if we would be a good fit for your young person before you approach the school and request a referral.

ADHD
Autism
Anxiety
Attachment Disorder
Behaviour that Challenges
Depression
Down's Syndrome
Dyslexia
Epilepsy
Fetal Alcohol Syndrome
Global Developmental Delay
Hearing Impairment
Learning Disability
Medical/Complex Health Needs
Motor or Vocal Tics
Sensory Processing Disorder
Speech and Language Disorder
Tourettes Syndrome
PDA
OCD
ODD
Visual Impairment
Other
None of the Above

I hereby agree that this data will be stored and processed for the purpose of establishing contact. I am aware that I can revoke my consent at any time.*

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Thank you! We aim to respond to referral requests within 7 days.

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