Referral Form

We receive referrals through a wide range of agencies but particularly through the infectious diseases clinics of major hospitals in Dublin.

If you or someone you are working with would like to receive support from ACET, please download and fill out our referral form and email it to  unafv@nprg.vr or post to 50 Lower Gardiner St, Dublin 1, D01 VC03. If you have any questions or need help with the form, please contact Hansi on 085 746 8447. 

For information on our work and to find out more about the referral process, please read here: ACET Referral Information

ACET REFERRAL FORM 2023

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