Referral forms

To make a referral to the Professional Support and Well-being Service (PSW) please download and complete the relevant referral form. Exam support is currently the only reason we accept as self-referral.

  • For most referrals, The Referral Framework Form should be completed by your TPD or Educational Supervisor
    • In order to put appropriate support in place, the PSW will be in contact with the trainee after the referral is reviewed. The PSW will need to arrange a Case Manager meeting to discuss the referral further and support will be put in place after this.
    • Please note  the trainee you wish to refer needs to have sight of these forms before they are submitted. 


  • Exam Support for repeated exam failure can be either a self-referral or by your Training Programme Director/Educational Supervisor
    • Repeated exam failure does not usually require a case manager meeting and the trainee will be contacted by the PSW Administration Team for additional information before putting any support in place.
    • Trainees must have been unsuccessful at the exam on two or more occassions or, there is a pattern of exam failure in the past. 

Once the form has been completed, or if you have any questions before submitting the form, email

When making a referral to the PSW we would ask that you read and familiarise yourself with our Professional Support and Well-being Service Policy which governs our practices and processes. 

Please note: In order to complete the digital referral forms, you MUST save a blank version to your desktop.

Once saved on the desktop, right click on the file and select "open with" > "Adobe". Please view the below video on how to do this.



Thursday, 20 December, 2018
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Thursday, 20 December, 2018