Councelling Referral Form
If you feel you would benefit from counselling or therapeutic support, please complete the referral form below.
The information you provide will help our team understand your circumstances and the support you may need. Please share as much information as you feel comfortable providing.
Once we receive your referral, a member of the Cassandra Centre team will review it and contact you to discuss the next steps.
If you are completing this form on behalf of someone else, please ensure they are aware of the referral and have given their consent wherever appropriate.
General Referral Form
If you or someone you are supporting could benefit from the services offered by the Cassandra Centre, please complete the referral form below.
The information provided will help our team understand the individual’s circumstances and identify the most appropriate support available.
Please provide as much information as you can. Once we receive the referral, a member of the Cassandra Centre team will review it and make contact to discuss the next steps.
If you are making a referral on behalf of someone else, please ensure they are aware of the referral and have given their consent wherever appropriate.
Caring Dads Referral Form
Our Caring Dads programme is designed to support fathers who want to develop healthier, safer and more positive relationships with their children and families.
If you are referring someone to the programme, please complete the form below with as much information as possible. This will help the Cassandra Centre team understand their circumstances and assess whether the programme is appropriate for their needs.
Once we receive the referral, a member of our team will review the information provided and make contact to discuss the next steps.
Please ensure the person being referred is aware of the referral and has given their consent wherever appropriate.
