Referring to Actualise

Many of our clients are self-referred. In addition to that, we receive referrals from a number of agencies, groups and individuals, including Psychologists, Psychiatrists, GPs, OTs, Social Workers, Residential Services and Schools. 

Please click the link below to download a Word Document, which you can fill out and return to us - either by email to info@actualise.ie or by post to Actualise Director, DCU Alpha, Glasnevin, Dublin 11. Please give us as much detail as you can so we can facilitate you and your client in the most appropriate way. 

You may also use the Consent To Release Data form to allow your client to provide written consent for you to talk to us about their case.