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.
Mental Health Crisis or in need of Urgent Care.
Caraline does not provide a service for those in a mental health crisis or in need of urgent care. We are not able to accept referrals if the individual is currently experiencing suicidal thoughts/plans or has been actively suicidal in the past 12 weeks.
In this case, we would recommend the individual seeks support initially for their low mood and self-harm risks via their GP, via phoning 111 option 2 or A&E.
There is also the SHOUT text service via texting SHOUT to 85258
If you are experiencing any physical health symptoms such as:
Dizziness, feeling faint or fainting
Chest pain
Palpitations
Breathing difficulties
Swelling
Or feeling unwell, please seek urgent medical advice via phoning 111 / going to A&E or phoning 999.
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: