Self Referral

If you have a query regarding sickness absence, planning a return to work, or guidance regarding requirement for adjustments in the workplace, it is advisable to discuss these issues with your manager in the first instance and to request a referral to occupational health to encourage collaborative working.


There are two methods of referring to the occupational health service:


Through your line manager


You can discuss with your line manager and ask them to make a referral to the occupational health service for you. Your manager should give you a copy of the completed referral form.


Self Referral


You can contact the occupational health service yourself via the self referral form. Self-referral is confidential; therefore your line manager would not be contacted without your knowledge and consent. You are however encouraged to report any work-related health problems to your line manager, so they can support you appropriately.



Download this file (Self Referral Form and Information.doc)Self Referral Form[The completed self referral form should be sent to An Adviser will contact you to discuss]102 Kb
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