If you struggle with any technical aspects of this form please feel free to e-mail IT@dwr.co.uk with the details.
Many thanks
Client Care Team
If you choose the last option, we will review the case details first, so you will be unable to book the appointment at this stage.
Please supply full referral details outlining the reason for referral.
A full medical history, all medications and laboratory results (even if these are normal) should be supplied (and can be uploaded next).
In essence, the more information you can provide, the better placed we will be, to help your client.
