Referral form

If you are working with a service user you believe would benefit from participating in G.O.A.L, then you can refer them to the programme with their consent. To do this, complete the form below or call 0207 275 2414 / 07725 955 964 to get started - or email goal@hctgroup.org.

G.O.A.L referral form

Please complete this form and we'll make contact with the service user to get things started. Alternatively, call 0207 275 2414 or 07725 955 964.

 

The HCT Group is committed to safeguarding your privacy policy. Before you provide us with your personal information, please read our privacy policy. This well help you understand how and why we use your personal information and your rights and options.

Our privacy policy can be found here: http://hctgroup.org/information_and_technical/privacy

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  • Yes
    No
  • Yes
    No
  • Please confirm that you have obtained the necessary consents to pass on the personal information of the individual you are referring.
  • Yes
    No
  • Robot checking, you must tick the 'I am not a robot' box before submitting or saving your information.