Shopping Cart
Your Cart is Empty
Quantity:
Subtotal
Taxes
Shipping
Total
There was an error with PayPalClick here to try again
CelebrateThank you for your business!You should be receiving an order confirmation from Paypal shortly.Exit Shopping Cart

Self Referrals

If you are aged 18 or over, are female (or identify as female) and are in need of

emotional support then we may be able to help you. Once we receive your completed referral form we will be in touch within 2 weeks to arrange an assessment.


Click on the link below to open our referral form

Self Referral Form


Once you have completed the form, download it by clicking on the download button in the top right hand corner (see image below) and choosing "With your changes".


Save it to your computer / phone / tablet then open up a new email, attach the file 

and send it to [email protected]


If you have problems with the PDF version, you can download a word version here.

Contact the office if you have any problems

Professional Referrals​

If you are a professional and want to refer one of your clients, please complete the form below to the best of your knowledge and email it to [email protected]

You can use EGRESS free if you wish to send this information securely.


We will contact your client within two weeks to arrange an assessment.


Professional Referral Form


If you have any problems with the PDF format you can download a Word version here


- Thank you -