Service Access

Referral Criteria

We offer a service to both adults and adolescents aged 14 years+ who's primary concern is an eating disorder. (clients under the age of 18 must have either parental or GP consent to access our service)

BMI range for 16+ year old clients is minimum 15

Carers and family members

(all terms are subject to assessment protocols and suitability)

(Please note we can only see clients whose GP's are based within Bassetlaw and Derbyshire unless private funding can be obtained)

Please be advised that the following form our exclusion criteria :-

Long term Psychiatric input for the following: Severe and Enduring Personality Disorder (including suspected and traits), Psychosis, Schizophrenia and Bi-Polar

Persons who are identified as being a serious risk to self or others

Complex moderate to severe Learning Disabilities, ASD and ADHD

Excessive Alcohol/Drug Misuse

N.B If an individual has been under the care of psychiatric services please speak with a member of our team to assess suitability for a referral to our service on 01909 479922.

Referral Process

Self referral can be done via telephone, letter or completing the self referral form at the bottom of this page

GP Referral can be done via telephone, letter or fax

Other health professionals can be done via telephone, letter or fax.

Referral Pathway

GP / CPN / School Nurse / Nurse / IAPT / CMHT - can refer directly to FREED if the individual meets our diagnostic criteria, FREED will then offer an appointment to assess suitability and decide the interventions that are most suitable. (Our diagnostic criteria is available upon request).

If an individual's BMI is below 15 we would advise him/her to approach their GP for an alternative service.

Name *

Address *

Contact Telephone Number *

Date of Birth *

GP Name *

GP Address *

Reason for referral, please give details. If this referral is urgent please give reason *

Height *

Weight *

BMI *

Self induced vomiting? Y/N if yes, frequency *

Are you using laxatives? Y/N, if yes, frequency *

Binging (eating a large amount of food in a short time with a feeling of loss of control). Y/N, if yes, frequecy *

Other purging methods, eg diet pills. Y/N, if yes, frequency *

Are you preoccupied with thoughts of food inbetween meals? *

Excessive exercise? Y/N, if yes, frequency *

Do you restrict your daily food/calorie intake? *

Is your weight stable/falling/increasing? If falling, what id the rate of weight loss? *

Do you eat large amounts of food when you are not hungry? if yes, how many times per day/week? *

Please give details about history including previous treatment *

Please give details of any other diagnosis (clinical/Medical/ASD). If any other diagnosis, do you have other professionals involved? If yes, who? *

Current medication *

Are you or anyone in your household currently suffering from Covid-19? *

Are you or anyone in your household suffering from any COVID-19 Symptoms? *

Are you currently self-isolating or shielding? If yes, please give details as to why. *

Have you or anyone in your household been tested by the NHS for COVID-19 in the last 14 days? If yes, what were the results? *

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Service Access