Make a Referral

Referral form

If you would like to make a referral please complete the following form below. If you are having difficulties then please contact us and we will be able to request details and process your referral.

Please note that by completing the form or emailing your details, you are consenting to these being stored on a clinic database and within our referral system. The database is encrypted and only ever accessed by trained individuals with a password. Please see our data protection policy for more information. 


Anyone can make a referral to our services on behalf of a child or young person age 0-18

We currently only accept referrals for children and young people living in Islington and Camden (Growing Hope King’s Cross), Lewisham and Southwark (Growing Hope Brockley), High Wycombe (Growing Hope High Wycombe) and Gateshead (Growing Hope Gateshead).

A responsible adult must be able to attend both assessment and intervention sessions with the child or young person.

Individual referral criteria will depend on the healthcare professionals working at the Growing Hope clinic.

What can I expect?

  • Please allow one working week for your referral to be processed. If your referral has been successful, you will be sent a confirmation email. If we have a waiting list in place at the time you make a referral, we will let you know. 
  • Your child or young person will attend an initial assessment. Following this, you will receive a short report detailing your child’s needs and making recommendations for intervention and support, if required. If your child requires intervention, you will be offered a block of six weeks of therapy.
  • It is essential that you attend both the assessment and therapy with your child as the primary aim of sessions will be to work on goals set between yourself, your child and the therapist. The therapist will explain and teach therapy strategies to the adult who attends the session so that these can be carried out at home.
  • One-to-one therapy sessions will last around 45 minutes and will include time in which the therapist will ask if there is anything that they can pray for you or your child. It is OK to refuse this prayer if you would like to.
  • Sometimes one-to-one sessions will not be necessary for your child and they may be invited to a group alongside other children who have similar needs instead.
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