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):