Once completed, please email or return to the address shown on the form and an initial appointment will be arranged, you will be notified of your appoinment date by post, within two weeks of BRAVE receiving your completed form.
BRAVE values your privacy and any personal information you give will be treated in confidence.
If you have any difficulties downloading or completing the above referral form, then please contact us.
"Where there is anger, there is always pain underneath." - Eckhart Tolle
"Anyone can become angry, that is easy. But to be angry with the right person, to the right degree, at the right time, for the right purpose and in the right way - this is not easy."