Beat Self Referral Form

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Thank you for asking us for help

This is a short form that aims to work out what kind of help is best for us to give you.

By filling in this form, you give consent for your data to be used in line with our privacy statement

Please note that we currently have one programme that can directly support people with Binge Eating Disorder.


The rest of our programmes are for Adults (18+) who are:
  • Supporting a person (who is an adult or child) with eating difficulties

Some of our support programmes are only available in certain parts of the UK. 

Our fundraising team work hard to unlock these programmes to be available everywhere, but it is possible that we may not be able to offer you support through one of our programmes if your location is not yet funded.
We may not be able to provide the support you have asked for

What kind of help are you looking for?


Your details


We will use this information to contact you so please make sure you give us your most up to date details






These questions help us find out if we are funded in your area












We will use this information to contact you so please make sure you give us your most up to date details





These questions help us find out if we are funded in your area









If you aren't sure which type of eating disorder is affecting the person you care for, you can read our information on types of eating disorders here.






If you aren't sure which type of eating disorder you are affected by, you can read our information on types of eating disorders here



Which programme(s) are you referring yourself into?

Some programmes have specific criteria such as type of eating disorder affecting the person that you look after, or the affected person's age. 

Please do take your time here, as it will help us get back to you quickly if you select programmes that are suitable to your situation.
  • Nexus: 1-2-1 telephone coaching support for all carers. Person you care for must be aged 13 years+
  • Raising Resilience: 5 week online skills-based workshop for those caring for less than 5 years
  • Harnessing Hope: 5 Week online workshop for carers who support someone with enduring illness (5 years +)
  • Anchor: 1-2-1 telephone coaching support for carers of people with ARFID. Person you care for must be aged 12 years+
  • Endeavour: a carer support group for parents/carers of young people aged 5-15 displaying ARFID behaviours or presentation

Some programmes have specific criteria, such as type of eating disorder you experience, or your age. Please do take your time here, as it will help us get back to you quickly if you pick a programme that is most suitable to you.

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