This form is for health and care professionals or those working within a treatment service who are making referrals to EPIC Restart Foundation on behalf of people who have suffered gambling related harm and have been through treatment.

EPIC Restart Foundation is a UK charity that rebuilds lives after gambling harm. We are here to support individuals to restore confidence, self-belief and empower them to take the next steps in their journey of recovery. 

By completing this referral, you are agreeing to the client being referred to our Restarting Lives 1-1 program and our EPIC Restart Community. 

We do not provide treatment services or health care professionals.

If you are a member of the public looking for support, please visit our website for more information at

State client detail's first

Is the client abstinent from gambling? (optional)

Does the client want to maintain an abstinence based recovery? (optional)

Please confirm the Client has consented to this referral

Please confirm EPIC Restart Foundation has consent to contact using the following methods

Does the client consent to EPIC Restart Foundation sharing information with the referring organisation?


Communication preferences

EPIC Restart Foundation is a registered charity no 1192907. Registered Office: Suite 2, Northern Diver Building, Appley Bridge, WN6 9AE.
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