ASSOCIATION FOR GROUP AND INDIVIDUAL PSYCHOTHERAPV

1 Fairbridge Road, London N 19 3EW.

Tel: 020 7272 7013 Fax: 020 7272 6945

Re:

The above named person has applied to the Association for training in individual psychotherapy. Your comments on this candidate will be most helpful to the Training Committee. (If necessary, please continue overleaf.)

We regret it is not possible to reply to individual referees. Please accept our thanks in advance.

PLEASE RETURN THIS FORM TO THE ADMINISTRATOR AT THE ABOVE ADDRESS.

Charity number 1083030, Limited Company Registration number 03863068

Member, United Kingdom Council for Psychotherapy