Application Form

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How to join a group / make a referral

We operate an open application system. This means that you can self-refer or refer a friend, relative, or patient/client – no matter who you are.

We ask you to complete the form and send it to us by:

Email:, or

Post to:

Aphasia Re-Connect

C/O Sally McVicker

Department: Language and Communication Science

School of Health Sciences

City, University of London

London EC1V 0HB

United Kingdom

For help or more information: Contact Us