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Accessibility Options

Personal & Professional Referrals

We offer two different ways to join us here at the Chrysalis Centre. We accept self-referrals and professional referrals.

Professional Referrals

If you have either a client or patient that is aged 18 or over, identifies as female, and you feel that emotional support would help.

Self Referrals

If you are aged 18 or over, identify as female and require emotional support, we may be able to help you.

Chrysalis professional Referrals

How to complete a referral

Please complete the referral form using the link below and email it to us at info@chrysaliscentre.org. Once the referral form has been received, we will contact your patient/client directly to complete their registration over the phone and talk to them about our services.

PDF Format Form
Adobe Acrobat Reader Required (Acrobat Reader download, its free)