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• Create Date May 16, 2025
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Referral Form

This form enables practitioners to refer clients to another professional, service, or agency in a structured and ethical manner. It captures key client details, reason for referral, relevant background information, and any risk or safeguarding considerations. It also includes space for client consent to share information, in line with confidentiality and data protection standards.

Recommended use: Complete when referring a client to another service; retain a copy with the client record and ensure consent is clearly documented.