Please complete the below form to support the FREED referral process.
This form does not need to be completed by a clinician - anyone can make a referral to the FREED team. If you are unsure whether this is an appropriate referral, you can consult the diagnostic criteria and other information here.
All inappropriate referrals will be sent back to the referrer with recommendations attached, or signposted to the appropriate agencies if they are not suitable for specialist services.
If you have any questions before completing this form, please email firstname.lastname@example.org or call (01472) 808450.
To assist, please consult the diagnostic criteria which will help you complete this section. This will open in a new window.
The specific bloods required are FBC, U&E, Phosphate, Calcium, Magnesium, Albumin, CRP, LFT, Iron profile, Vitamin B12 and Folate , Vitamin D, TFT, Glucose, CK.