top of page

Referral Form

If you are interested in attending The HELP Hampshire Stroke Clinic please complete the form below and send back via post or drop at The University of Winchester's Main Reception.

The referral form must be signed by your General Practitioner before we can consider your request to be on the programme. 

Postal Details


Dr James Faulkner, HELP Hampshire Stroke Clinic


University of Winchester, Sparkford Road

Winchester, Hampshire SO22 4NR

For any guidance or queries regarding the referral form, please email to and we will be in touch.

bottom of page