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Make a referral

Download a referral form

Below you will find our referral forms which you can use to make a referral. If you’d rather make a referral over the phone, please call us on 0330 440 9000 during office hours.


If you’re making a referral for yourself or someone you know:

  • Please use our contact us form which you can find on our contact page.

  • Use the chat function which can be started from any page on our website.

  • Contact us via the phone number or email address found on our contact page.

If you are a professional and would like to make a referral for someone you’re working with:

  • Please use a professional form (you will need to download the form before filling it in, then send to us via email)

  • You will need the consent of the person you are referring, or tell us why this isn’t possible (for example, they do not have the mental capacity to do so).

  • If you are not sure which form you need to use, please contact us using the chat, email or phone.

Once you’ve filled out the form:


  • Post it to the address at the bottom of this page.

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