Felly Health & Wellness CIC

Community Referral Form — Medway Women's Health Support
Non-clinical health education, support & signposting

📋 For Referring Professionals
This form is for professionals referring individuals to our women's health education and support sessions. Our services are non-clinical — safe spaces, health education, and signposting only. On submission, a notification is sent automatically to Felly Health & Wellness CIC.

✓ Referral Submitted Successfully

Thank you. A confirmation has been sent to your email address. We will be in touch with your client within 48 hours to offer appropriate support.

Felly Health and Wellness CIC — working alongside your NHS care.

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Your Details
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Client Details
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Reason for Referral
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Consent & Declaration
By submitting this form, you confirm that: the individual has given consent to be referred; you understand our service is non-clinical and does not replace NHS care; and the information provided is accurate to the best of your knowledge.