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Title can self refer or ask someone else
to refer you by filling in the form on this
leaflet. Or call free on 0800 567 7699 or
email info×livewellkent.org.ukNameSurname
Date of birthed
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01
Start by gathering all the necessary information such as your personal details, contact information, and relevant medical history.
02
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03
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04
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01
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02
Individuals who have the necessary information and understanding of their medical condition or requirements and prefer to directly approach a healthcare provider without involving a referral from another healthcare professional.
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What is you can self refer?
You can self refer is a voluntary process where an individual seeks help or services for themselves.
Who is required to file you can self refer?
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You can fill out a you can self refer form online, over the phone, or in person.
What is the purpose of you can self refer?
The purpose of you can self refer is to allow individuals to seek help or services for themselves without needing a referral from a healthcare provider.
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You must report your personal information, the reason for seeking help, and any relevant medical history on a you can self refer form.
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