Make a Referral To refer a client to one of our SHAPES HIV services please call us on 020 7183 7121 or complete the form below and one of the team will contact them as soon as possible: Required fields are indicated with * Client details First name* Last name* Mobile number* Email address* Anything we should know about the client Borough of residence None Barking and Dagenham Barnet Bexley Brent Bromley Camden Croydon Ealing Enfield Greenwich Hackney Hammersmith and Fulham Haringey Harrow Havering Hillingdon Hounslow Islington Kensington and Chelsea Kingston upon Thames Lambeth Lewisham Merton Newham Outside of London Redbridge Richmond upon Thames Southwark Sutton Tower Hamlets Unknown Waltham Forest Wandsworth Westminster Referrer details First name* Last name* Mobile number* Email address* Organisation* Consent to Referral Please tick this box to confirm that the client has consented to this referral. Please tick this box to confirm that you have read our Referral Notice and agree to its terms. Please only enter your email here if you are not a real person. PhonePlease enter your phone number here if you are a robot. Please untick this box before clicking the button to submit your referral. This helps to keep our forms secure.