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This is an opportunity for you to write down details about yourself. You can be as open and honest as you are comfortable with, as this document will not be shared outside of the service unless issues of safety to self or others are disclosed. It will be helpful to start off your therapy, if you can give your therapist as much information as possible, so that he/she will have information to start thinking with you about the way forward right from the start.

Self Referral Form For Psychological Support

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