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Referral Form
Individual Support Consultation

This form is for professionals and practitioners looking to make a referral to The Seamless Blend.  Please complete this referral form for direct client support and to include TSB as part of a multidisciplinary team approach to client support. 

All information is confidential and is securely stored. 

Which Individual Support Service are you referring your client to? Required
Is your client
Is your client currently receiving service from any other step family, counselling or support service
Is your referral for TSB to work as part of a multidisciplary team?

As part of our intake process, a staff member will phone you to share information about our Individual Consultation service and other services that may be useful for you to know about.  This is also a great opportunity for us to gain an understanding of your client's expectation and to assess their needs first hand.  Please advise your client that TSB will call as part of our intake process.  This is a wonderful opportunity for your client to ask any questions and share any thoughts.  Please note if we or you discover our services are not appropriate for your client we will advise you as soon as possible and endeavour to support you to find an  an appropriate service that meets your clients needs, however we find this is rarely the case and look forward to working with your client and their family.    

*If you have selected this option please email your TSB contact to advise that your client has been made aware that TSB will be conducting a phone intake

Thank you for your referral.

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