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
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