Fill in this form to get support. 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. We will have a chat about what we can offer, and how we can assist. 

If you are referring someone on their behalf, we request that you have confirmed their consent with them first. 

If you are unsure if we are able to offer support, please check out who we can help.

If you prefer to have a chat over the phone you can call freephone 0800 035 6409 to speak to a member of our team. 

Referral Form

Contact Details, person being referred
Your contact details (Please complete this section if making a referral on someone's behalf)
Submit Section SSV

Keeping your details safe and secure

This secure referral form will be sent directly to our team who will be in contact soon.  

We promise to keep your details safe, and will never sell or swap your details. If you change your mind about hearing from us, you can stop receiving our updates at any time by contacting us or phoning 0131 229 1456.

You can access our privacy policy here.

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How we can help

Across Scotland, we provide support to empower ex-service personnel affected by sight loss to regain confidence, restore independence and make new connections.

Our impact

For over 105 years we have provided lifelong support to ex-servicemen and women after they have experienced significant sight loss.