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Referral Form

Thank you for choosing to make a referral to NYAS. We value each and every referral so that we can make a difference to children, young people and some adults. In order for us to respond quickly to your referral, please take note of the following:

This system of referral has a high level of information security….  All information entered onto this form and sent to us, is done so through a secure server connection using the Secure Sockets Layer (SSL) protocol. This allows your browser to encode any data it sends to our server, so that even if someone intercepted your information as it travelled across the Internet they wouldn’t be able to read it.

If you would like more information you can read up on SSL here – http://www.digicert.com/ssl.htm