Please complete the referral form below if you wish to refer your patient to the Essex Wellbeing Service.

What do I do first?
Please complete the form below so we can understand what they need support with

What happens next?
One of our team will contact them within 3 working days.

Please be aware that we can only accept applications from people living in Essex, excluding Southend and Thurrock


Patient Details

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Organisation Details

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Consent

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