Therapy referrals

Waitlist currently open.
Please complete the relevant therapy referral form below. 
Please do not complete this form if you are seeking assessment services (e.g. for ASD or ADHD). We are not curently accepting new assessment referrals.

For use by a health or education referring agent

Please complete the form in the client's name.

Adult Therapy Referral Form

Child Therapy Referral Form (Child ages 4-17)

For self-referral

Adult Therapy Referral Form

Child Therapy Referral Form (Child ages 4-17)