Refer a Case
Please select the referral type you require from the drop-downs below and the appropriate form will be displayed for completion.
If the mandatory information is not know, please add ‘n/a’ into the respective field.
An automated acknowledgment will be issued following a successful submission. If you do not receive the acknowledgement, please call 01698 207 755 to confirm that the referral has been received.
Type of Referral
Proclaim Care – Rehabilitation Specialists
Obair Associates – Vocational Rehabilitation Specialists
Please select a form