Self Referral

 
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  • Please specify the service you require by ticking one bow below:

    ADD NI Parenting Programme:
    Please indicate preference
    10.30am - 12.30pm
    6.30pm - 8.30pm
    Group Intervention Programme
    16 - 18 years
    Adult Group Intervention Programme
    Individual Counselling (For Adolescents and Adults)
    Art Therapy
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Please note that ADD NI hold client information on a confidential database in accordance with the 1998 Data Protection Act.

Please complete all aspects of this form as incomplete applications may be rejected.