Make a Referral
If you or someone you know is living with sight loss, you don’t need to wait for a professional referral. Essex Sight welcomes self-referrals from anyone seeking help, guidance, or support.
Who Can Use This Form?
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Individuals experiencing vision impairment, whether newly diagnosed or long-term.
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Family members, friends, or carers acting on someone’s behalf (with their consent).
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People looking for advice about assistive technology, daily living support, or community connections.
Why Self-Refer?
Self-referral is the quickest way to access our services. By filling out this form, you can:
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Request free, confidential advice tailored to your needs.
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Access information on local and national support services.
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Connect with your nearest Community Sight Centre.
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Arrange a home visit if you’re unable to travel.
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Get guidance on technology and equipment that makes everyday life easier.
How It Works
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Complete the form online: It’s fully accessible and easy to use.
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We’ll review your request: Our team will get in touch to discuss your needs.
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We’ll match you with support: This may include information, signposting, technology guidance, or arranging an appointment at a local Sight
Accessibility
Our self-referral form has been designed to meet WCAG accessibility standards, with features such as:
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Screen reader compatibility
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Adjustable text size and colour contrast
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Clear, simple layout
If you need help completing the form, please contact our team directly and we’ll assist you.