Professionals Referral

If you are a doctor, social worker, employment advisor, or any other professional, you can make a referral for someone by completing our online referral form.

See the Referral Criteria for Professionals for an overview of who Back on Track can and cannot work with.

If you have any questions please do not hesitate to contact us on 0300 123 1156.

Please note:

  • Incomplete referral forms will be returned for completion, and we therefore ask you to complete all sections fully to avoid any delays for your patients.
  • If you have any information that it would be helpful for us to know about regarding the safety of the person you are referring to us so that we can consider the best forms of support for them, please ensure you include this in the free text boxes on the referral form. Things to consider include any risks to self, others, or from others.
  • We are a 9am-5pm service and are unable to provide urgent support (urgent support would be better provided by the Single Point of Access Team; we advise any patients in crisis or in need of emergency support to contact the West London NHS Trust 24 hour support line on  0800 328 4444.