Due to confidentiality, Please make sure when referring you use the correct form, either Self or Professional.
If you are self referring, you must use this Self Referral Form. Professional body referrals, please continue and complete below.
The following fields are * required. When inputting your name, this acts as a signature. By giving SAFA your signuture, it will give consent for information to be shared between yourself and SAFA, when it is deemed in the best interest of your client.
By submitting this form I accept the information provided will be held by SAFA. This information will be kept confidential, however there are some extreme situations where SAFA may be obliged to share information.
Please note that referrals are usually reviewed by a counsellor within two working days (Monday-Friday)
By ticking this box, I confirm my consent as stated above