24hr Support Line 0800 6300 443

Data Privacy

Please select all that apply:

Complete the form

We’ll make sure that your enquiry gets directed to the correct department.

    Referrer details





    Personal details









    Do you confirm we can check your work history?

    Do you at any stage hold a jockey licence?






    Can we leave a voicemail if we are unable to reach you?





    If you would like a welfare officer to contact you to offer further support, please check this box.

    Please tell us when is best to contact you

    Absence Details

    Are you currently absent from work?

    if so, what date from


    Are you currently on any form of restricted duties or phased return to work, either short term or long term?

    Referral Reasons

    In order for us to ensure that we deal with your referral in the most effective way, please select the reason for the referral. Select all that apply:

    If so, are you able to detail any diagnosis given?

    Give reasons for absence including medical condition (s) and any further concerns you have.

    Required Information

    What information would be useful to get from your occupational health report? Select all that apply.


    All privacy statements must be confirmed before submitting this referral.


    Please note


    The individual is not obliged to share their report with their employer, even if the employer is completing the referral on their behalf. Once this referral is submitted communication would be with the individual who had been referred and RW are unable to share any further details with the referrer without that individuals permission.

    Get Support Now

    Racing Welfare’s 24 hour support line enables people to access support and
    guidance through digital and telephone options.

    Call us on 0800 6300 443
    Speak to a Trained Counsellor TALK TODAY