Early Intervention Referral Form

I think we need an appointment with the following people:

Please select which service you feel you need (required)

I give consent for my child to be referred to the EPT Clinic. I understand that this involves giving consent for my child and my family’s personal and sensitive data to be held and used to process the referral by the EPT Clinic in accordance with the clinic's GDPR Policy. *

6 + 3 =

COVID 19 Notice

The EPT Clinic’s Team hopes you are doing okay during this difficult time. In light of the COVID 19 crisis, the EPT Team continue to closely monitor and follow public health guidance in relation to this unprecedented public health emergency. The Government of Ireland have listed Disability and Mental Health Services on their list of Essential Services which are exempt from the Stay at Home advice. As a result, we are trying our best to continue to support families while adhering to physical distancing measures.