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Make a Referral - Out of the Blue

If someone you support is interested in attending, please fill in the referral form below. You can be referred by your GP, keyworker, CPN or support worker or individuals can refer themselves.

Your information will be sent securely to the team at HOOT who will be in touch to make sure we have everything we need and to invite you to sessions. PLEASE NOTE:Places are currently limited for some groups, call HOOT to find out more. 

If you’re not sure which sessions you might like to attend, you can check out the ‘What’s On’ page to see what is happening in the groups or call us on 01484 516224 to chat with a member of staff about what’s currently on offer.

The Clients Details
The Clients Emergency Contact Details
The Clients Keyworker Details
The Clients Doctor's Details
Please also identify if your client has a diagnosis of and/or identifies as having Autism/Asperger's, dementia, a learning disability and/or a hidden disability.
Your Details
Your Organisation
Risk Factors

I confirm that the person I am referring is able to participate in Out of the Blue activities independently, or will be provided with the appropriate support. (Contact Hoot if in doubt)
 

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