Prior to filling out referral form please have a look at our Privacy and Confidentiality information pack. If referring on someone else behalf please ensure you have their consent.

What happens now? Take a look at our referral process.

Please check your junk folder within 24 hours of sending in your referral

Who is this referral for? *

Someone Else

Name *

Add the name of the person filling out this form

First Name

Last Name

D.O.B. *

Add Date of Birth for person being referred

YYYY

Email *

Add the email of the person filling out this form

Phone *

Add the contact number of the person filling out this form

(###)

###

####

Reason for wanting to access therapy *

And please let us know if you have a preference for a specific therapist.

What is your chosen rate?

We offer a no questions asked approach. It costs approximately £50 for CATS to run therapy sessions, please choose a rate that aligns with your circumstances so we can continue to provide the choice and care we aim to.

£40 - Reduced Rate

£50 - Students and Underemployed

£60 - Standard Rate

Availability *

What days are you available?

Monday

Tuesday

Wednesday

Thursday

Friday

Availability *

What times are you available?

9:00 - 12:00

12:00 - 3:00

3:00 - 6:00

Other

What is your preferred contact method?

Phone

Open to All

What services are you interested in?

Art Psychotherapy

Music Therapy

Dramatherapy

Open to All

Have you read and understood our Privacy and Confidentiality Information Pack? *

These are linked above. If you need support with this process please get in touch through our referrals email.

Yes

Thank you for taking the time to fill out this Form. We look forward to offering you support.

We will get in touch with an allocated therapist through your preferred contact method. Please check your junk folder when this is through email.

If by phone expect a call from 01315313864. If by email expect a message from referrals@creativeartstherapiesspace.co.uk, within 1 or 2 working days.

We are not able to take referrals over the phone. You will be asked to fill out this online form.

However, if you need guidance or support please get in touch.

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More Information

CATS is not a crisis intervention service, If you're in crisis or need immediate support, please remember that help is just a click away. Visit Need Help Now? for information on emergency services. You're not alone, and help is available.

Referral Form

More Information

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