218-220 Kettering Road
Northampton NN1 4BN

01604 626272

Make a referral

We are able to accept referrals from anywhere in the UK. Professionals and families are welcome to contact us for further information, or call for an informal discussion regarding a potential referral. Please use the links provided to request electronic or posted copies of our brochure and/or Statement of Purpose.

The referrer


Job title


Telephone number

E-mail address

Funding authority

The patient


Date of birth

Current placement:



Telephone number

Type of current placement (Acute ward , PICU, low secure etc.)

Mental Health Act Status

Type of placement required

Reason for referral

Brief details of needs

Brief history of risk to self and others

Other significant information

Relevant documents (e.g. Last CPA, current risk
assessment, OT assessment..)

Need help?

Give us a call on 01604 626272.