**Please note: As I am going on leave shortly, I am not currently taking on any new clients. However, I am happy to send you a list of Psychologists that you may wish to get in touch with.

If you'd like to refer someone for psychological treatment, please fill in the below and I'll get in touch with them. Clients can also self-refer. If I have further questions I may contact you. Sending this form does not guarantee acceptance of a referral but I will let you know either way. Thank you for your contact.