Colleague-in-training self-referral form

Support when you need it

If you feel that you require confidential advice and mental health support that does not require input from your Host Organisation, please complete a self-referral form using the link below. 

Please note, if you feel that you require additional support and/or adjustments from your host organisation as a result of a medical condition, please speak to your host organisation, who will be able to submit a management referral via the Lead Employer.

Self referral link: Health and Wellbeing Self Referral (Opas G2)

Step 1: Please enter your work email address (Please note: if you are currently off work, you can use your personal email address)

Step 2: Please enter the data capture code (always lower case, always text). This is for data security reasons

Step 3: Please enter the Lead Employer code -  AXA758  (this is to identify your employer)

What happens after the self-referral? 

Once you have completed the self-referral form, it will be shared with our Health, Work and Wellbeing (HWWB) Team who will review the information that you have provided and action accordingly. 

If you have any further questions please don`t hesitate to contact us.

The inbox is monitored Monday to Friday, from 8.30am to 4.30pm and you should receive a response within two working days.