Solas Psychology

(*WE ARE CURRENTLY CLOSED UNTIL SEPTEMBER 1ST - WE WILL RESPOND TO ALL ENQUIRIES UPON OUR RETURN) Please complete the form below and our Practice Manager will be in touch within 1–2 working days. If you don’t see a reply, please check your spam. Our current wait time for appointments is approximately 5 - 10 weeks

Child/young person's name:

Name of individual making referral:

Child's age (please note that we offer assessments up to 18 years of age only):

Child/young person's date of birth:

Email:

County:

Phone:

Has your child/young person ever had an autism assessment?

Yes
No

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

Areas of impact for your child:

School/learning
Friendships and relationships with others
Regulation
Mental health
Sensory
Sleep
Diet
Home routine

Is there anything else you’d like us to know?

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. occupational therapist, speech and language therapist etc.
From an educational professional e.g. class teacher, principal, education officer, SNA/ANA etc.
From a medical professional e.g. GP, paediatrician, PHN etc.
From a social care professional e.g. play therapist, art therapist, counsellor, psychologist etc.
Instagram
Facebook
Other

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