Download a referral form

If you prefer, you can download one of the following forms:

• Referral form for health professionals (Word doc 50KB)
• Referral form for self referral (Word doc 44KB)

Right click to download and save the Word doc, then email completed forms to info@accept-consortium.org.uk or via secure email to wajiha.ali@nhs.net. We also accept letters and faxes.

Other services

Your GP can advise you on other ways to access psychotherapy or counselling. A range of organisations offer talking therapies in Islington, including iCope.

To download information about other services who might be able to help, click here: Other Islington services document