Professionals Referral

If you are a doctor, social worker, employment advisor, or any other professional, you can make a referral for someone by downloading our Professionals Referral Form and emailing it to us here.

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.
  • 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 0300 1234 244).