Healthy Outlook Contact Details

Our new email address

Please can you redirect all referrals and enquires to the above email address.

Register Online

Healthy Outlook New Logo

On receipt of a referral we will send a confirmation e-mail to the referrer.

We will then review the referral.

If the referral is accepted we will contact the patient within 7 days.

If the referral is not suitable for our service then we will contact the referrer and patient to notify them of this within 7 days.

Please complete this form if you have a patient you wish to refer. Indicate below which of the following long-term health conditions the patient has been diagnosed with (more than one can be selected):

Note: Questions marked by * are mandatory

Unfortunately, we are unable to provide treatment for other conditions at this time.

We are currently unable to accept self-referrals. Please contact your health professional (such as your GP, Specialty Nurse, Consultant, Rehab Team etc.) who will make a referral on your behalf.
Referrer's Details
Patient Details

Further Information

  Yes No
*This is a mandatory field. Does the patient have any disabilities?
*This is a mandatory field. Does the patient need any assistance from a translator to access our service?
Thank you for completing all of the above details. One of our therapists will review the information within the next 7 working days and let the patient know, by email or letter, which treatment will be most suited for their needs. Please be aware that if the patient cancels or misses 2 appointments throughout their care with Healthy Outlook, they will be discharged and will need to re-refer when they are able to attend appointments.
Use of Information
By submitting this online referral form, you are agreeing that the data above is shared with the NHS. For more information on how we collect, store and use your data – please see
Please be aware that we are not an emergency service. If you feel that you are in crisis or in need of urgent support, please contact the patients GP or the Community Mental Health Team on 0845 207 7711. Please note, there may be a slight delay in contacting the patient if the Community Mental Health Team is currently involved with the patients care.