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Refer

We welcome enquiries directly from potential recipients, as well as family, friends, carers, ECLOs, Social Services, Opticians, or anyone else who may benefit from, or knows someone who may benefit from our service.

If you are enquiring for yourself, please fill in the registration form and we will contact you. Please note that you need an email address to use any of our forms.

If you are not on email, please phone us on 07484 130819 and leave a message with your own phone number so that we can call you back.

If you know someone who might benefit from our service and would like more information please contact us and we will be more than happy to answer any questions.

Usually, it is then easiest if you can then ask the intended recipient to complete our registration form or to telephone us, with your help if necessary. However, we appreciate that isn’t always possible, and in those cases we would ask that you fill in the form below:

    About You

    For data protection, please confirm that you have spoken to the person you are referring and that they have consented to your passing us their data

    About the person you are referring

    Do any of these statements apply to the person you are referring?

    1. Registered (or meet the criteria to be registered) as Severely Sight Impaired or Blind

    2. Registered (or meet the criteria to be registered) as Sight Impaired or Partially Sighted

    3. Unable to read 12pt type even with the help of spectacles or contact lenses

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