Referring Into The Liverpool Light

You can self-refer into this service or be referred in from an External Agency. Please find details for both referral routes below:

Please note that this service is not in place of the 999 emergency service, if an ambulance is required you should call 999 immediately.

You can download our referral form  by clicking here for the word version, or by clicking here for the pdf version. You must also return to us this consent form. You can also send us a referral online using the form below.

Please be as honest as possible when filing in the form either yourself or on behalf of someone else as so we can provide the best possible support.

Please be aware that by submitting this form you are agreeing that:

  • all details given in this form are, to the best of my knowledge, true and accurate.
  • I also consent to this data being used for monitoring purposes. Only relevant data will be passed on to any of our partner agencies if a referral is agreed upon.


By clicking here you can download your handbook. We have printed copies at the service if you would prefer.