Referral Form

Referral Form

STEP 1

Please click the link below to complete our referral form. To ensure we are able to allocate the most suitable therapist for you, please provide as much information as possible. The more information we have, the quicker we can add you to our waitlist. If we need to contact you to provide information, this will delay you being added to our waitlist. Please allow 20-30 minutes to complete this form.

STEP 2

Our team will receive your referral and transfer your information to our waitlist which is reviewed daily. If we are unable to gather enough information from your referral form, a member of our Bloom Therapy team will contact you to advise that more information is required. Once we have all of the information, we need you will be added to the waitlist.

STEP 3

When a vacancy arises, our admin team will contact you to offer you an appointment time with the therapist most suited to provide you with the best support.  While we will try to accommodate any requests for specific appointment times (e.g. after school), this is not always possible due to our very full calendar.

PLEASE NOTE: We do currently have a waitlist.

Please contact us to ask about current wait times.