Private assessment referral form

Most affiliated therapists to whom we refer provide remote therapy, via telephone or video call platform as well as face-to-face support.

Tele-therapy and video-therapy works well in the majority of cases, but it is not suitable in all circumstances. If we have any concerns, we will let you know when we have reviewed your referral.

Due to extremely high demand in recent months, we have a significant waiting list in place for both adult and child referrals.

WE REGRET TO INFORM POTENTIAL CLIENTS THAT WE HAVE MADE THE DIFFICULT DECISION TO TEMPORARILY CLOSE THE WAITING LIST FOR REFERRALS FOR BOTH CHILDREN AND ADULTS DUE TO EXCEPTIONALY HIGH DEMAND.

The referral form below is currently disabled. If you are seeking an ASD assessment (children and adults) or a child ADHD assessment, please contact us directly.

Please note that this is not a crisis service; we are not best placed to provide support for clients experiencing severe levels of distress and suicidal ideation requiring immediate input. If you are requiring urgent support please contact your GP, out of hours NHS services or the Bristol Mental Health Crisis Team. For support by telephone or email you can contact The Samaritans 24 hours a day.


For whom are you seeking a referral?

Referrals for adults (18yrs & older) must be completed by the client themselves.


We are really sorry but we are not currently accepting new referrals for children due to the length of the existing waiting list. 

Unfortunately we cannot provide a time frame for reopening the list as this is dependent on us matching a sufficient number of clients already waiting.

We are really sorry, but we are not currently accepting new referrals for adults due to the length of the existing waiting list.

Unfortunately, we cannot provide a time frame for reopening the list as this is dependent on us matching a sufficient number of clients already waiting.