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Call: 0161 820 9229
Email: office@hsrpsychology.co.uk

Referral on someone's behalf

If you are referring through an education setting, organisation or as a professional then please complete the following form with as much information as possible and we will be in touch. The more information you provide, the better.

Important: Please do not disclose the name or any information which could identify the child or young person at this stage unless you have parental consent to share this information with us.


Your name: *
Role: *
Your email: *
Your phone number: *
Location / Address: *
Name of education setting or organisation: *
Address of education setting or organisation:
Age of child/young person: *
What are the main concerns regarding the child/young person? *
What do you want from our involvement? *
Does the child or young person have any existing diagnoses?
Please feel free to attach any relevant documentation or reports with this referral. If there is more than one document please attach as a zip file.

No file selected.

Please select any professionals who have been involved with the child or young person:




Thank you!

We maximise the wellbeing and potential of children and young people by providing immediate access to a broad range of clinical, educational and child psychology services.

Call: 0161 820 9229

Email: office@hsrpsychology.co.uk

Visit: 3-5 St John Street, Manchester, M3 4DN

HSR Psychology is an independently owned and controlled not-for-profit social enterprise we reinvest any profits we generate to further maximise the wellbeing and potential of children and young people.

Our supporters

Thanks to the organisations below that have helped us to maximise our social impact:

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