Adult Clinic Referral Form
Please note that a referral does not guarantee you will be seen.
As a student-led teaching clinic we will consider your referral and decide whether our service best suits your needs. This may mean we may not accept your referral. If your referral is declined, we will advise you of the reasons.
For those clients needing ongoing support, we will regularly review the frequency and appropriateness of our service and will communicate at regular intervals what to expect. At these intervals we will talk about how long we expect to keep working with you, if a referral to other services is relevant and what will happen if we are discharging you. This is to ensure that we are providing an optimal service to you and new people being referred to our clinics and to help with waiting list management.
After submitting the referral form, please also complete the consent form.