If you are a professional who wishes to refer a client or service user to us, please fill our online interactive PDF referral form by clicking on the link below:

DF Interactive Referral Form

*You will need Adobe Reader installed in order to view and fill in our referral form. You can download Adobe Reader for free by clicking here.

You can return the referral form to us in a variety of ways – you can click on the ‘Submit’ button at the bottom of the referral form to return it directly to us. Alternatively, you can save the form on to your computer and e-mail it to us at info@gayderbyshire.org.uk. Or you can even print the form and return it to us by post – you’ll find our mailing details on our Contact Us page.