Online Referral


  • Please complete the secure, online form below. For security reasons, please do not copy and paste from Word documents or similarly formatted text into the fields.
  • Attach relevant documents (if any), such as sickness absence records and/or job descriptions if relevant.
  • Submit online and save/print the confirmation page .
  • You will receive a confirmation email with additional information to be given to the employee.
  • Our team will contact you with the appointment details.

Step 1. Referring Company