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The Seamless Blend
Client
Referral Form

This form allows professional practitioners to make client referrals to The Seamless Blend and provide clients access to our booking portal. Please ensure all sections are completed. Where appropriate The Seamless Blend can support multidisciplinary teams but this will require additional client consent.

All information is confidential and is securely stored.

 From Professional Practitioner 

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Which Individual Support Service are you referring your client to? Required
Billing Responsibilty Required
Are you aware of any other service your client is currently receiving?

I understand that The Seamless Blend do not provide crisis support or psychological services but offer trauma-informed guidance; ensure a strengths-based and family-centred coaching model.  Where required/appropriate The Seamless Blend will offer clients referrals to other services who may be appropriate/able to meet more complex needs. The Seamless Blend team will always endeavour to share appropriate information with the original referring organisations.

Thank you for your referral.

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