Referral Enquiry Form

Thank you for your referral we look forward to speaking to you soon. You will receive a confirmation email from The Cowshed to say that your referral is in progress. We may contact you if we require clarification or have items out of stock. Please note we only accept referrals via health professionals , charities, Churches , social services schools and other professional bodies. If you are struggling and are unable to access these services please contact us on our contact tab and we will do everything we can to help you.

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NOTICE: ONE FORM PER INDIVIDUAL REQUIRED.

Thank you for your referral. Please note that in order to ensure efficient processing, we kindly request that you submit one form per individual. When completing the form, please include each individual’s full name and date of birth. Unfortunately, we are unable to process family referrals through a single form submission. 

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