Yorkshire Stress Management Employee referral form
Please use this form only if you want to refer an employee for one-to-one therapy.
If you would like details of seminars or group sessions please see https://goo.gl/forms/pDfCIKuh35bY087d2

Once we receive the form we'll get back to you, normally within 24 hours, with further information and a quote.

Or feel free to phone Debbie Waller on 01977 678593

Email address
Business name & address
Your answer
Contact name
Your answer
Contact phone number
Your answer
Employee name
Your answer
Reason for referral
Your answer
Where would you prefer sessions to take place?
We strongly recommend that one-to-one clients are seen at our clinic in Normanton. If, for whatever reason, you prefer them to take place at your business address, this may be possible, depending on dates and distance.
Additional charges will be applied to cover our travelling time and costs.
Final word
Please use this form only if you want to refer an employee for one to one therapy.
If you would like details of seminars or group sessions please see https://goo.gl/forms/pDfCIKuh35bY087d2


Or feel free to phone Debbie Waller on 01977 678593.

Yorkshire Stress Management is a trading name of Yorkshire Therapies & Training Ltd.
Registered in England and Wales No. 10275858, Registered Office: Keldale House, Beal Lane, Beal, N Yorks, DN14 0SQ

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