Online Self Referral

Welcome to the Online Self Referral Section of Inclusion Matters

Please note this is a Wirral Based Service and individuals must be registered with a Wirral GP.

In order to improve access into the service individuals can now referral themselves online using our easy to follow online referral form.

Below you will find a link which will take you direct to our online referral form. The form will take you no longer than 5-10 minutes and we ask you to complete all the relevant information necessary in order for us to process your referral.

Once you have submitted your referral this will be sent to our administration team and you will be contacted to arrange your initial telephone assessment with a therapist. We aim to contact all individuals within a reasonable timeframe so please ensure all of your contact details are correct. We will attempt to contact you and, where possible, leave a voicemail. Referrals are kept for 21 days before we discharge as not activated.  

Sometimes we may miss you if we try to call. If you have not heard from us within 3-5 working days please contact us on 0151 649 1859.

Please note that we can only speak to the individual who made the referral. If you wish for someone to act on your behalf please state this when our administration team contact you.

If you are a Carer or a Care Professional (such as Residential Care, Nursing Home etc..) and you wish to refer an individual we cannot accept this online as it must come from the patient themselves. We advise in this instance to call our administration team on 0151 649 1859 to discuss referral into the service.

If you are unsure about the referral form then you can still refer direct by contacting us on 0151 649 1859.


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