Befriending enquiry form

We also accept referrals from family members, community workers and GPs. Please register their interest by providing their contact details if you have their consent and they are happy to use the service.

Without their consent we are unable to process this application so please ensure you obtain consent before completing the rest of the form

We'd love to share updates about our vital services and how your support could help change lives every day.

Please select yes below so we can contact you:

Epilepsy Action will never swap, share or sell your details. For more information, read our privacy policy. You can update your preferences at any time by contacting our supporter care team on 0113 210 8800 or emailing supportercare@epilepsy.org.uk

We'd love to share updates about our vital services and how your support could help change lives every day.

Please select yes below so we can contact you:

Epilepsy Action will never swap, share or sell your details. For more information, read our privacy policy. You can update your preferences at any time by contacting our supporter care team on 0113 210 8800 or emailing supportercare@epilepsy.org.uk