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REFERRAL FOR OUR SERVICES

RfA provides services to support individuals and families with an autistic spectrum condition. In order for us to offer you the most appropriate service please fill in the form. We will only share this Information with others with your permission unless there is a serious concern that you, your child or someone else described in the form is at risk of harm. Please complete as much of the form as possible. If English is not your first language or you need help filling in the form for any other reason then please let us know and we will help you.