Fill in this form to refer someone with sight loss. We are here to support people experiencing challenges caused by visual impairment. 

We ask some basic information, so we can start to think about the ways we help. Once completed, we will be in touch directly with you, and the person referred. We will have a chat about what we can offer, and how we can assist. 

When referring someone, we request that you have confirmed their consent with them first. 

We're currently not able to take enquiries through our online form. For all enquiries, please call us direct on our Support Line - 0800 024 8973. Lines are open Monday to Friday, 9am to 5pm.

Support for someone you know

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