Ashburn Clinic Downloads
Download important Clinic documents below.
Click to Learn More:
For details on how to refer a patient, or how to seek a referral from a medical professional, please click on the appropriate link below.
Ready to make a referral? Use the applicable form below. Our referral forms are all fillable PDFs. Please note: referrals for both inpatients and outpatients must come from a medical professional.
The booklets below will give you an overview of how Ashburn works, and what to expect when you arrive.
And, if your admission is confirmed, the pre-arrival checklist can be useful to help you decide what to pack.
Businesses providing services to Ashburn Clinic need to have prior approval before carrying out any work on-site. This involves submitting an application and relevant Health & Safety documentation, which is then assessed by Ashburn staff.
Due to the vulnerability of our staff and patients, any contractors working on-site must be fully vaccinated against Covid-19. Proof of vaccination will be requested upon arrival.
How to apply:
- Complete the Contractor Application Form and the Health & Safety Acknowledgement Form to demonstrate appropriate health and safety practices.
- Read the Contractor Information Booklet.
- Email the completed forms, plus additional information as detailed on the application form, to email@example.com
- Our staff will assess your application and we’ll be in touch to advise the outcome.
Once approved, any staff who come on site will be taken through an induction.
Make a Donation
Ashburn Clinic is a not-for-profit charity. We help people who, for myriad reasons, struggle to live well in the world. We welcome donations to help fund the valuable work we do at Ashburn Clinic.
There could be a special reason for making a donation – you may have had a personal experience with Ashburn, or you might know someone else who has benefited from our programme of care, such as a partner, family member, friend, neighbour or work colleague.
You can help to restore someone else’s quality of life.