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SELF REFERRAL FORM

At DHC we aim to provide quality healthcare in local setting for the benefit of patients.

Referral Forms

If you know the treatment you require please complete one of the following forms and we will be in touch.

Computer based CBT

Long Term Conditions Treatment

Group & workshop booking form

Talking Therapies Treatment

If you are unsure of the treatment you require please complete the Talking Therapies form and we will be in touch

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