Referral Form

Professionals Involved

In accordance with the Data Protection Act of 1998, all information provided on the referral form and in any further dealings with the Hammersmith and Fulham Employment and Wellbeing Services will be treated as confidential and will not be disclosed to any third party without express consent from the client.

However it is important that you understand that on occasions organisations are obliged to share certain information e.g. an individual is at risk to self or others, and may need to inform services such as Local Safeguarding of Vulnerable Adults Team; Child Protection Team; other staff; Service?s Regulator(s) and other agencies. Should this need arise the Service will make every effort to discuss this with you prior to any information being shared.

You should expect to hear from us within 3 working days of submitting your form.

If you?d like to speak to us about your application, please call us on 0330 008 3808 or email