Make a referral
If you would like to make a self-referral or make a referral on behalf of somebody else, simply complete the secure form below and click send. Mandatory fields are marked with an asterisk (*).
Alternatively, you can download a PDF version of this form, complete and post it to us at:
Live Lighter Sheffield, Zest Centre, 18 Upperthorpe, Sheffield, South Yorkshire S6 3NA.
Once we have received your completed form we will be in touch as soon as possible.