Contact Us.

If you have a quick enquiry, please email us at Info@essencecompanions.com, or call us on 07377677081

Alternatively, you can make a more detailed referal enquiry below and we will be in touch within 24 hours.

Essence Companions Initial Referral Form

Name

First Name

Last Name

Email Address

Telephone Contact

Who is this Enquiry for?

Yourself

Relative

Friend

If family or friend, does this person know you are contacting us?

Yes

No

I would prefer to talk to someone about Essence's support service before I discuss with my relative/friend

Client Details

Only complete this next section if you are not the direct client, but have consent from the client to disclose this information

Clients name

First Name

Last Name

Email Address

Telephone Number

Client would prefer Essence to contact (in the first intance)

Client

Referrer

Please provide some brief detail of the support you woud like to discuss.

Any other relevant information you may wish to share with us.

Thank you for your enquiry.

Someone from Essence will be in touch with you within the next 24 hours