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Friends and family referral

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Complete the referral form below to access compassionate, non-judgemental support, guidance and information tailored to your situation.
Complete the referral form below to access compassionate, non-judgemental support, guidance and information tailored to your situation.

Make a friends and family referral

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Our service for family and friends of people who are suffering eating disorders is aimed at supporting you through this difficult time. This is not a referral form for the person that you are supporting. If the person that you are supporting also wants to access our services they need to request support themselves.

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By ticking this box I understand that SYEDA will contact my GP if there are any serious concerns around physical or mental wellbeing.

Please briefly describe your situation and what support you feel you need.

SYEDA Equalties And Diversity Monitoring

It is essential that our services are provided fairly and that they reach the people who need to use them. The monitoring information we collect is vital to this process. It helps us understand who is using are services and who is not, having this information helps us improve services and reduce barriers to access. The information we collect will always be kept confidential and secure. If you do not wish to answer a question you can leave it blank. These questions below will take you around 2 minutes to complete. Thank you.

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Disability

A disability is an impairment that has (or is likely to have) a substantial (more than minor), adverse, long-term (more than a year) effect on the ability to carry out normal day-to-day activities.
Thank you very much for taking the time to complete this section. Your input is very important to us.

Without the support and expertise available to me from SYEDA, I would not be in recovery from my eating disorder. Thank you so much. 

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