Solas Psychology

Make an inquiry online using the contact form below and a member of our team will be in touch. We aim to respond to all queries within 2-3 business days

Name of individual being referred:

Name of individual making referral (if different from above):

Age of individual being referred:

Date of birth of individual being referred:

Email address:

County Name (e.g. Galway):

Phone:

Have you (in case of adult referral)/your child (in case of child referral) ever been assessed for autism? If so, please write the date of the assessment:

Reason for referral (please provide as much information as possible):

Please tell us how you heard about us:

Google search
Autism support group/charity in Ireland
Word of mouth (e.g. a friend/acquaintance)
From a healthcare professional e.g. GP, occupational therapist, speech and language therapist etc.
Other

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