Ecotherapy enrolment forms

Please note we are currently pausing recruitment on the Ecotherapy Programme. We will re-open recruitment at the end of April 2024. 

Please download and complete the self enrolment forms below. 

If you are getting in touch about yourself please use this form. 

If you are a health professional making a referral please use this form.

If you are able to, we would appreciate a completed equality, diversity and inclusivity form, this is optional.

If you would like to know more about how we will manage your data, please read our privacy policy

Return your completed forms to the ecotherapy team by email to or by post to St Nicks, Rawdon Avenue, York YO10 3FW

Once this form is submitted we will get in touch to make an appointment to discuss the next steps for getting involved with the Ecotherapy programme. We also ask you to complete and return the anonymous equal opportunities form to help us make sure our services are as inclusive as possible.

If you require any further information please contact the Ecotherapy team via email: