All of our Service users have a primary diagnosis of a Learning disability. They may also have mental health needs, autistic spectrum conditions, personality disorder and/or present with challenging and complex behaviour.

If you would like to make a referral, please fill in the
following form and return it to:

Sequence Care Ltd.
First Floor
Highbury Crescent Rooms
70 Ronalds Road
London, N5 1XA

Alternatively you can contact:

Mark Horton
Commissioning Relationship Manager
M: 07884 588 761
E: mark.horton@sequencecaregroup.co.uk

Or Head Office

T: 01992 785 460
F: 0207 354 5277
E: referrals@sequencecaregroup.co.uk
W: www.sequencecaregroup.co.uk

Referral to Sequence Care Services

Referrer details

Name: *

Position: *

Address: *

Telephone no: *

Email: *

Placing authority:

Would you like to be contacted by telephone / email / or
to be sent a brochure:

How did you hear about us?

Service User details

Age:

Sex:

Current placement:

Under section?

Please indicate if the service user is diagnosed
with any of the following: