Referral Forms

Please use one of the referral forms below by downloading your chosen form to a computer and either filling out the Word document and emailing it to us, or printing it out and posting it to the address on the form.

Adult Psychological Therapies Self-Referral Form

To download the form, right click a button below and ‘Save As’ to your computer

 

ASD and ADHD Service Self-Referral Form

To download the form, right click a button below and ‘Save As’ to your computer.

 

Adult Autism and ADHD Service Self-Referral Form

To download the form, right click a button below and ‘Save As’ to your computer

 

Children & Young People Self-Referral Form

To download the form, right click a button below and ‘Save As’ to your computer

 

Getting Started is Easy

w

Talk to our us

Our team of highly experienced and professionally accredited staff can help.

Book Appointment

We can help you in person, or even provide online consultations .

1st Session

All therapies are accessed via our Initial Therapies Assessment.

Contact Us

Ask a question or book an appointment below. For out of hours enquiries, please email outpatients@theretreatyork.org.uk 

01904 412551

Heslington Rd, York, YO10 5BN

info@theretreatyork.org.uk