All our online forms in one place
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Client Registration
Once you have completed an initial referral form or spoken to a Case Manager who has offered you an appointment, you will need to complete a registration form.
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Self Referral
Use this form if you are an individual and seeking:
Family or SEN Mediation
Therapy
Autism Assessment Service
Trauma Assessment and Support Service
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Payment Method
If you are seeking regular therapy services then you need to complete this form so that we may charge for your appointments.
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ADA Service Consent
This is completed following your initial consultation and your decision to proceed with a full assessment for Autism Spectrum.
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3rd Party Fees
If our fees have been agreed by a 3rd party such as a medical insurance company or your employers then please complete this form.
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Payment Plan
Our Autism Assessment Service may be funded using a payment plan.
Use this form to apply.