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.
To protect our clients and team, we are operating a ‘Virtual-first’ approach on several of our services. This is the preferred option for avoiding the spread of Covid-19. Where the Virtual-first service is not suitable for a client we will endeavour to arrange a visit, with the necessary protection in place.
Type of Referral
Proclaim Care – Rehabilitation Specialists
Obair Associates – Vocational Rehabilitation Specialists
Please select a form