This form can be filled in by people of all ages who would like to become members of Body & Soul.
It can also be used by clinicians, social workers, nurses, GPs and other professionals who would like to refer a patient or a client to services at Body & Soul.
In this form, we ask you to provide some basic information, but we will have the opportunity to speak in more detail during your registration meeting.
If you are referring someone else, please make sure that they are aware that you are referring them and tell them to expect a phone call from Body & Soul within the next four working days.
Phone calls from Body & Soul will always appear as “Private” or “Unknown” numbers.
Please try to answer all questions on this form.