Professional referral

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If you are professional and you would like to refer a client for support with their eating difficulties, please complete the self referral form below.

Make a referral for a client

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Please note we will contact the client regarding their referral on this contact number

If the client you are referring is under 16 years, please include the name and contact details of the parent/guardian. We will contact them regarding the referral.

include duration of eating difficulties, behaviours associated with their difficulties, any information regarding weight gain/loss over the past 6 months.

include mental health/ physical difficulties, neurodivergence (Suspected/diagnosed), pregnancy, diabetes, and any other risks that we should be aware of.

If yes, please include their name and contact details and an overview of the support they are receiving.

if under 16, please ensure their parent/guardian provides approval for the referral

Please include name of the service completing the referral, and the contact details of the best person to contact regarding the referral with any other questions.