Management Referral Form

Submitting a management referral form

If a colleague-in-training requires support you may need to submit a management referral form.

If you require specific advice and recommendations for adjustments and advice on how to avoid work-related ill-health and to help sustain attendance at work, please complete the form below.

Please note, if you do not require advice in relation to the colleague-in-training's condition, please advise that the individual submits a self referral form here, which is the route for wellbeing and mental health support. 

Also note, the below form must only be completed by a host organisation representative.