Referral Form

If you already have contacted the therapist you are working with please fill out this referral form. This is just to ensure that you have read the CATS privacy and confidentiality agreement. While ensuring that there is transparency in rates offered.

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.

Who is this referral for?

Someone Else

Name

Add the name of the person filling out this form

First Name

Last Name

Preferred Pronouns

Which Therapist are you working with?

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

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

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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

Book an Appointment

Book a Room

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