Befriending service referral

Know someone who would benefit from our befriending service?

We accept referrals from family, friends and professionals.

If you have spoken to them about the befriending service to gain their consent, please register their interest providing their contact details.

We’ll get in touch and do the rest.

"*" indicates required fields

Your details

Your name*

First Last

Your email*

Your phone*

Organisation/company*

Details of the person you are referring

Their first name*

Last name

Their email (if you have it)

Their phone*

How do you know the person you are referring?

Stay in touch!

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:

Email*

Yes

No

SMS*

Yes

No

From time to time, we may also contact you by post and phone unless you tell us otherwise.

Please tick this box if you prefer not to get post from us

Please tick this box if you prefer not to get phone calls from us

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

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