Service access criteria

Tick to confirm you have checked the service access criteria "The Arts on Prescription Programme is for people with Mind to Moderate Mental Health challenges such as anxiety, depression, or stress. If there are concerns around aggression, higher risk mental health concerns, problems around addiction or housing, please let us know as the program may not be suitable.  I have indicated the accessibility of the course but please let us know if there are additional needs as we may be able to support depending on the circumstances and needs.    There are 12 spaces on the course and we may create a waitlist for our next course. "

Your Details

Who are you referring?

Don't know / client doesn't have an email address

Additional referral details

Other:
Other:

Confirmation and consent

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Tick to confirm the service provider can directly contact the client

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