Self-Referral
Please use this form to refer yourself to Caraline. We accept referrals from adults and young persons (17 years +) in the Luton and Bedfordshire area. We offer psychological therapies for mild to moderate common mental health problems where the primary problem is an Eating Disorder.
This online referral form is fully secure and all details below will be stored on our secure and confidential system. To prevent delays in your treatment please ensure that you complete the consents page about how we can contact you. Once you have submitted your form you will receive an automated email to confirm your submission was successful.
If you have any problems with this form or do not receive an automated reply please email
Should you wish to update any area of your client file please go to: