Freedom from Torture - Freedom from Torture referral form

Freedom from Torture referral form


Note: Referrals for treatment from Wales, the South West, East Midlands, East of England and Yorkshire & Humberside should go to London

Freedom from Torture accepts referrals from survivors themselves, friends and family, GPs, solicitors, refugee community organisations or any other voluntary or statutory sector body. All services are free to the client.

Please note this form is not to be used for referrals for Medico-Legal Reports.

Which centre are you making the referral to?
Referrer details
Max length - 800 characters
Client details
Max 255 characters
Please provide at least one of the following defined by client
Page 1 of 2 (50.00 %)