Therapy Referral Form

Criteria for participants

Apple Tree Farm placements are suitable for children and young people with a variety of needs and backgrounds such as learning difficulties, brain injuries, autistic spectrum disorders and social, emotional and mental health problems.


People can be referred to us if they are:

  • Aged 4-25 years of age
  • Able to work alongside other people or work towards this
  • Able to get around the farm safely without hurting themselves
  • Able to access funding for a placement
  • Keen to work outdoors
  • Keen to work with animals

Once referrals are received they are assessed within 24 hours and the referrer is contacted to discuss availability and details.

    Referral Agent Details

    Child/Young Person Details

    Medical Information & Care

    Background Information

    Funding & Payment Information

    Invoice Details

    Please confirm where invoices are to be sent to:

    Please refer to our terms and conditions Here for full cancellation details. For further information or queries, please contact the farm on 01769 560095 or via email to