Beat Self Referral Form

| Resume a previously saved form
Resume Later

In order to be able to resume this form later, please enter your email and choose a password.

Password must contain the following:
  • 12 Characters
  • 1 Uppercase letter
  • 1 Lowercase letter
  • 1 Number
  • 1 Special character

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?


Important Information Before You Apply
At Beat, our priority is to ensure that everyone who accesses our programmes receives the right level of care and support for their needs, in a way that is safe and effective. Our programmes are designed as low-intensity, guided self-help interventions delivered online, and we do not provide medical advice, counselling or trauma therapy. This means that while they can be highly supportive for many people, there are some circumstances where a higher level of medical or specialist input is needed alongside or instead of what we can offer.
 
Because of this, we’re unable to offer our support programmes at this time if:  

You are pregnant – we recognise this can be a particularly sensitive time, and you’re welcome to re-apply once your pregnancy and postnatal recovery are complete.

You are receiving specialised, trauma-focused treatment/therapy - You’re also welcome to return to Beat at a later stage if your circumstances change, and we will be glad to explore which of our services might then be most appropriate for you.

We understand this may be disappointing to hear. This decision is not a reflection of your motivation to seek help or the seriousness of your experience; rather, it’s part of our safeguarding responsibility to ensure that everyone receives the right support in the safest way possible.

If either of the above apply to you, we’d encourage you to discuss your options with your GP or healthcare provider, who can help you find a service that offers the level of medical or specialist input you may need right now.

Your details


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

Our online carer community which provides people supporting someone with an eating disorder with a space to learn share and find support.

Screenshot from the Hub showing event ID as an example

Please note, the date needs to include '/' between each part of the date



Please try to use your personal email address consistently when engaging with Beat. This helps us match your details across our systems and avoid any delays or confusion when providing support.



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












Please note, the date needs to include '/' between each part of the date
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.





Please note, the date needs to include '/' between each part of the date

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. 

Each of the programmes below is hyperlinked. Please take your time to read the information for each programme before making your final selection.

  • Eating disorder support for family members (formerly Nexus):     
    1-2-1 video-call coaching support for all carers supporting someone with an eating disorder for less than 5 years. Person you care for must be     aged 13 years+.
  • Developing Dolphins 2: an 8-week skills-based carer workshop for those supporting someone with an eating disorder for less than 5 years.
  • Harnessing Hope: 5 Week online workshop for carers who support someone with enduring illness (5 years +)


Save my progress and resume later | Resume a previously saved form

If you have difficulties using this form, please contact us and quote reference MET