Make a Referral

Online referral form for employers.

Refer employee health and wellbeing cases through our fully secure and encrypted online referral form.
You’ll receive a confirmation email with the details you submit. We aim to respond in 1 working day.

    Employee Details:

    Date of accident

    Employer (Your) Details:

    Is your company funding this referral?*

    Additional employer details:

    Do you require us to send the assessment report(s) to someone other than yourself, for example, the employee’s line manager?

    Funding Party Details:

    Select a Service:

    Sickness Absence Reporting & ManagementCase ManagementPhysiotherapyPsychological Support & TreatmentHealthcare Plan ManagementOccupational Health Services: Work Related AssessmentsHealth SurveillanceClinic Days & Wellbeing ServicesConsultancy & Training