Referral form No.2

Together, we’re all working to create a happier, healthier life for all.

Make a referral

Maintaining a full-time team of crisis and health management experts can be costly and unnecessary during stable times. That’s where HCML’s Crisis Consultants come in. Ready to act swiftly, they provide remote or on-site support, offering their specialized expertise to help you navigate even the most challenging and complex situations.

Get Started

Nationwide Onsite Health Surveillance and Assessments

Our onsite health surveillance service is nationwide and includes the following assessments:

Audiometry (noise)
Fork-lift truck medicals
Spirometry (respiratory)
HAVS (hand arm vibration)
Skin

Confined spaces
Working at heights
Face fit testing
Isocyanates
On-employment questionnaires

Make a Referral

Online referral form for employers.

Refer employee health and wellbeing cases through our fully secure and encrypted online referral form.
You’ll receive a confirmation email with the details you submit. We aim to respond in 1 working day.

Employee Details:

Employee Title *

Name *

Postcode *

Address *

Date of birth *

Gender *

Home Contact Number *

Email *

Date of accident *

Injury Site and Description (Optional)

Employer (Your) Details:

Company *

File Reference *

Name *

Job title *

Postcode *

Address *

Contact Number *

Email *

Is your company funding this referral?

Company

File Reference

Name

Postcode

Address

Contact Number

Email

Do you require us to send the assessment report(s) to someone other than yourself, for example, the employee’s line manager?

Company

File Reference

Name

Postcode

Address

Contact Number

Email

Select a Service:

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Provide peace of mind for your employees

Get in touch to find out more about our multi-employer trust options

let’s talk