Self Referral (Under 16 YEARS)

If you are suffering from an eating disorder and are making an appointment for yourself and you are under 16, please complete the self referral form below.

  • If you are suffering from an eating disorder and are making an appointment for yourself and you are over 16, please click here to self refer.

  • If you are supporting a family member or friend who has an eating disorder and you need some support for yourself then please click here to self refer.

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Self referral form