​
To top
Call: 0161 820 9229
Email: office@hsrpsychology.co.uk

Self-referral

If you would like to use our services, or find out more about how we could help you then please complete this form with as much information as possible and we will be in touch.

All of the information you provide will be kept confidential.


Name: *
Date of birth: *
Email address: *
Your phone number: *
Address:
What are your main concerns? *
Why do you need our help? *
Do you have any existing diagnoses?
Please feel free to attach any relevant documentation or reports with this referral. If there is more than one document please attach as a zip file.

No file selected.

Please select any professionals who have been involved with the child or young person:




Thank you!

We maximise the wellbeing and potential of children and young people by providing immediate access to a broad range of clinical, educational and child psychology services.

Call: 0161 820 9229

Email: office@hsrpsychology.co.uk

Visit: 3-5 St John Street, Manchester, M3 4DN

HSR Psychology is an independently owned and controlled not-for-profit social enterprise we reinvest any profits we generate to further maximise the wellbeing and potential of children and young people.

Our supporters

Thanks to the organisations below that have helped us to maximise our social impact:

lloyds logo SSE logo Lottery logo PWC logo EY Foundation logo Social Enterprise logo

Part of Tx Group

The Tx Group Logo