Please note: this referral form is for professionals supporting individuals who wish to engage with KIM. Referrals submitted by family members or friends will not be accepted. Where details are provided, we will contact the family member or friend to explain this.

If you wish to self-refer, please contact us by telephone on 01352 872189, or email us.

If you are referring to our Neurodivergent Project, please click here.

Please be aware that all information will be held in accordance with the Data Protection Act. Please click here for further information.

By completing this Referral Form, the individual you support is consenting to their personal information being held by KIM Inspire and processed in line with our Privacy Notice, a copy of which can be found here.

To view KIM’s data protection information please click here.

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