Friday the 23rd of June 2017
Refer to our Service

Please fill in the form below.

Islington referrals: Please use the Accept Consortium referral form [click here].

Haringey referrals: Please note that our waiting list is currently closed for Haringey clients (clients with a Haringey GP). It will reopen on July 1st, 2017.

Download a referral form

If you prefer, you can download one of the following forms: 

Right click to download and save the Word doc, then email completed forms to or via secure email to We also accept letters and faxes.

Unit 4 Lysander Mews, Lysander Grove, London N19 3QP
Tel: 020 7263 6947, Fax: 020 7281 3074