Make an Enquiry

Thank you for your interest in our services. We hope you found all the information you needed on our website. If you are a private client please fill out the enquiry form below and submit. If you are interested in our Right to Choose autism pathway please request that your GP completes our separate referral form. We will get back in contact with you and advise on next steps. We aim to respond to all initial enquires within 3-5 working days.

Right to Choose

Please note EPIC Solutions are not a crisis or emergency service. If you need more urgent help please see our details of out of hours/emergency services available.

Whilst you are awaiting a response back from us, please refer to the rest of the content on our website and our FAQs which may help with any questions you have.

If you are travelling to attend this appointment please look at our accommodation offers with local hotels offering discounted rates and family-friendly extras for EPIC clients. Please ask us for the reservation code after booking and paying for your assessment.

Initial Assessment Form

Name of person completing form:

If enquiring about a child/young person, what is your relationship to them?:

Do you have Parental Responsibility for the child/young person?:

Yes

Your email:

Your phone number:

Name of child/young person/young adult:

Young person’s address:

Young person's address:

City

County

Post Code

Country

Young person’s date of birth:

Educational provision (Please also include the school year):

Please describe the child/young person/your current difficulties:

Why are you seeking help now?:

What outcomes are you hoping for?:

How did you hear about EPIC? How did you hear about EPIC?

If you are human, leave this field blank.

Make an Enquiry

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