Referrals

Referrals for all services can be made by your GP, other support agencies and organisations or yourself. A referral form MUST be completed for every individual referred to the Chrysalis Centre.

**Please note all services are open to adult women only. Unfortunately we do not have insurance to cover children therefore childcare arrangements must be made prior to accessing services**

You can fill in the referral form below online and send it by email to [email protected]

We are moving premises on 15th October. BEFORE this date please post all referrals to Peter Street and AFTER 15th October please send them to the Beacon Building. All the assessment appointments available at Peter Street are now filled, so please advise your clients that appointments from mid-October will be at the Beacon Building address.

or you can download a PDF copy and photocopy for your needs.