• We are experiencing a high demand for our services and it may take a little longer to respond to your referral for Adults, however we are prioritising, children and young people (17 years under) and will usually follow up on these referrals if urgent within 5 days and routine within 4 weeks.
  • Who is making this referral?*
  • Have you accessed First Steps ED before?*
  • Has the individual accessed First Steps ED before?
  • Do you have any other mental health difficulties?

  • Do they have any other mental health difficulties?

  • Are you currently receiving any professional support?

  • Are they currently receiving any professional support?

  • What is your date of birth?*
     - -
    2 digit day, 2 digit month, 4 digit year
  • What is your education/employment status?*

  • What stage of education are you in?
  • Which university do you attend?

  • Do you consider yourself to have disability/mobility issues?*
  • What is your gender?*

  • What is your religion/religious denomination?*

  • What is your sexual orientation?*

  • What is your nationality/ethnic origin?*

  • Where did you hear about First Steps ED?*

  • Referral Submission

    Thank you for completing our referral form.

     PLEASE PRESS SUBMIT AT THE BOTTOM

     

    What happens now?

     You will be contacted within the next 5 working days to book in an initial assessment with a member of our team. Our assessments are currently being completed via video clinic. 

    For any queries, please do not hesitate to get in contact with us at info@firststepsed.co.uk or give us a call on 01332 367571.

  • About the individual being referred

    Please provide the following information about the individual you are referring on behalf of.
  • What is their date of birth?*
     - -
    2 digit day, 2 digit month, 4 digit year
  • What is their education/employment status?*

  • What stage of education are they in?*
  • Which university do they attend?*

  • Do they consider themselves to have a disability/mobility issues?*
  • What is their religion/religious denomination?*

  • What is their sexual orientation?*

  • What is their nationality/ethnic origin?*

  • Where did you hear about First Steps ED?*

  • Referral Submission

    Thank you for providing the information for our referral form.

    PLEASE PRESS SUBMIT AT THE BOTTOM

     

    What happens now?

    We will contact the individual directly regarding booking in their initial assessment.

    We are experiencing a high number of referrals and working to follow up within 10 working days. Please bear with us as sometimes this may take a little longer.

    Our assessments are currently being completed via video clinic.

     

    For any queries, please do not hesitate to get in contact with us at info@firststepsed.co.uk or give us a call on 01332 367571.

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