Please fill in the form below or download and email the Word document at the end of this page.
Note: This service is only for people who have an Islington GP.
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 firstname.lastname@example.org. We also accept letters, faxes and emails.
Your GP can advise you on other ways to access psychotherapy or counselling. A range of organisations offer talking therapies in Islington, including iCope.
To download information about other services who might be able to help, click here: Other Islington services document