Agencies and professionals can make a referral to a Women's Aid Leicestershire Ltd service via our online referral form. To access the online form, please click on the link below:

You can also download and submit a completed referral form via email to the following addresses:

Non-secure: [email protected]

Secure email: [email protected]

Please note that professionals will only be able to send emails to the secure email address if they are using a secure email account themselves (e.g. cjsm or pnn addresses).

To inquire about a referral form that has been submitted, or if you are having trouble completing the form, please email [email protected].

For JADA+ referrals:

To make a referral to our JADA+ service, download the referral form by clicking here, and email the completed form to [email protected].