Referral Form

We aim to contact new referrals within 14 working days of receiving the form. Once your referral has been received and processed, we will attempt to make contact via a phone call to arrange an initial assessment, where we will also discuss all the services we offer that can help support you through your time at Oakleaf. If we are unable to make contact via a phone call we will then move onto attempting to contact you through methods such as email and post.
Please be aware that we can only support individuals with a low-medium risk. In any circumstance where a risk assessment is required this will slow down the on boarding process slightly. If you wish to discuss the referral process with a member of Oakleaf staff, please either call us on 01483 303649 or alternately email


Referral Form

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Who is making this referral?

Personal Information





GDPR Statement

Oakleaf Enterprise are the Data Controller of the information you have provided. Due to the nature of our work with you, we are required to collect personal data about you which will include special categories of personal information. This information will only be collected from you and used by us to assist you, it will not be shared with third parties unless the law allows. We have a data protection regime in place to oversee the effective and secure processing of your data, we will hold your information for 6 years unless you instruct us to delete it once the relationship has ended. We would like to be able to send you information and /or reminders about activities and appointments by post, telephone email and/or SMS. If you agree to being contacted in this way please sign below.


Mental Health Information

Please give us as much information as you can regarding the mental health conditions of the person being referred and how they affect them

Reason For Referal

What would the referred individual like to do at Oakleaf and why? Please specify which activity/activities they are interested in:

(See calendar for details)

Which areas would you like to join activities?

Current social situation


Equality and Diversity Data

We would like you to complete this form in order to help us understand who we are reaching and to better serve everyone in our community. The information will be used to provide an overall profile analysis of our client base. If you would like the form in an alternative format or would like help in completing the form, please contact a member of staff. All information will be kept in line with GDPR regulations and you are under no obligation to complete this part of the Referral Form.