Due to consent purposes, this form should be completed by a parent or guardian. Completing this form is the first step in expressing your interest to attend The Breathe Magic Intensive Therapy Programme. Once completed, a member of the team will be in contact. They will be able to provide guidance around the next steps in signing up to attend the programme as well as answer any questions you may have about the programme.
Please note, if you are a clinician looking to make a referral please get in touch with us directly or request that the parent/guardian completes the below form. We look forward to hearing from you.
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