Refer to FDAMH

You may use our online forms to refer to FDAMH.

If you are in crisis, wish to access our Immediate Help Service or are unable to complete this form please simply Contact Us during office hours.

If you need urgent help when FDAMH is closed visit Need Help Now

Referral Status

  • Services open for referrals as normal

Referral Forms

(“Refer Someone Else” is for health and social care professionals to refer people they are working with. If you are filling in a referral for a family member or friend with their knowledge, please use ‘Refer Yourself’, entering their details)

Forms for Printing

If you prefer you can use printable versions of our referral forms to send or hand in to us:

Printable Refer Myself Form (pdf)

Printable Refer Someone Else Form (pdf)