Should you want to refer a client to our centre, please make use of the form to include all details necessary for the referral process. Please note, that we still require the client to contact us to make an appointment for an assessment. Appointments must be made for a specific date by calling your nearest branch to find out about availability.
This form can then be sent to the branch where treatment will occur.
|Observatory:||email@example.com||(021 447 8026)|
|Mitchells Plain:||firstname.lastname@example.org||(021 387 0103)|
|Atlantis:||email@example.com||(021 571 7180)|
REFERRAL FORM ctdcc.docx