Agency Referrals

Referring agencies…

We take referrals of new clients directly from the following HIV support agencies and organisations:

BSUH
Community HIV Specialist Service
Sussex Partnership
Mind OUT
St. Peter’s House Project
Sussex Beacon
Sussex Partnership
Terrence Higgins Trust (South)
East Sussex NHS Trusts
West Sussex NHS Trusts

Referrals –Referring Organisations Information

Thank you for taking the time to refer your client to us.

Please complete the form below, which will be processed securely and confidentially using an SSL certificate – indicated by the ‘padlock’ symbol shown on this page of your browser.
We are able to authenticate that this form has been sent by your organisation, and that the client is therefore eligible to use our service.

We only need the minimum of client’s information on the referral form which we will corroborate with the client when they first use the service.
Please do let us know if there are any special requirements, support needed, or whether your client would like us to contact them before they come for the first visit. We can make special arrangements for people to come along, including talking to them and meeting them before coming to the venue, and giving people a named contact when they come along.

Please would you ensure all relevant fields below are completed.

Thank you

  • If yes, please give us the phone number or email address. When calling we will only ask to talk with the person being referred, and not leave any voicemail messages.
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