Use this form to refer yourself or someone else into the HIV Support Team. You will then receive a call so we can talk to you more about how we can help. It will quickly and safely send your information directly to a member of staff who can assist


The form will take you to a form on our SharePoint server.


This form is end-to-end encrypted and goes directly to our sexual health team. After submitting the form you will receive confirmation via email. We will contact all service user within five working days. If the matter is urgent, please contact the office directly on 0113 244 9767.

Please click here to complete your referral.