Our Referral Forms | The Retreat Clinics

Referral Forms

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Adult’s Self-Referral Form

Taking this step to reach out shows courage and care for yourself, and we want you to know you’re not alone in this journey. By completing the self-referral form, you’ve begun the process of accessing the support you deserve. Our clinical team will review your form with care and then be in touch to arrange your first appointment, where we can begin working together to support your wellbeing.

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Children & Teenagers’ Referral Form

Seeking support for your child’s mental health is an important step, and we are here to guide you through the process with care and expertise. Once you’ve completed the self-referral form, our clinical team will review it thoroughly and be in touch to arrange the initial appointment. Together, we’ll ensure your child receives the professional support they need in a safe and compassionate environment.

Children & Teenager's Referral Form