Books Together Referral Form

To be completed by a professional or Self Referrals Only

The HCT Group is committed to safeguarding your privacy policy. Before you provide us with your personal information, please read our privacy policy. This well help you understand how and why we use your personal information and your rights and options.

Our privacy policy can be found here: http://hctgroup.org/information_and_technical/privacy

  • Tuesday
    Thursday
  • Yes
    No
  • Yes
    No
  • Yes
    No
  • Yes
    No
  • Alone
    Accompanied
  • Yes
    No
  • Robot checking, you must tick the 'I am not a robot' box before submitting or saving your information.