Referrals

Online referral facility.

We have an online referral facility to make it easier for you to make contact with us.


It is relatively simple to use for anyone with a modicum of computer knowledge, but should you have any difficulties please contact us via email.

Please click here to access the online referral form.

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Alternatively, you may download the printable version by clicking on the link below. This can be filled in and faxed or emailed to Tarryn Summerton / Lydian October at 021 3702400. Email Tarryn.Summerton@westerncape.gov.za or Lydian.October@westerncape.gov.za .



Referral to Rehabilitation or Long Term Facility Mar 2012.pdf

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