Please fill in the form below.
Islington referrals: Please use the Accept Consortium referral form [click here]. Due to high demand, the waiting lists for the BMER and DV/CSA streams of the Accept service are now closed. To download information about other services who might be able to help, click here: Other Islington services document.
Haringey referrals: The waiting list for people with a Haringey GP will be closed until 1st January 2018. You can access a list of other services that may be of assistance here.
Enfield referrals: We have now met our contracted quota for this financial year (April-March) and so the waiting list for people with an Enfield GP is closed. You can access a list of other services that may be of assistance here.
Download a referral form
If you prefer, you can download one of the following forms:
Right click to download and save the Word doc, then email completed forms to email@example.com or via secure email to firstname.lastname@example.org. We also accept letters and faxes.