This form is for professionals, family members or other third parties who would like us to contact someone about Blesma Membership.
Before completing this form, please ensure that you have spoken with the person you are referring and confirmed that they are happy for you to share their details with us. Please note that we will contact the potential member on receipt of the referral, not the referrer.
We can help
We are dedicated to assisting serving and ex-Service men and women who have suffered life-changing limb loss or the use of a limb, an eye or sight. We support these men and women in their communities throughout the UK. Click the link below to find out the different kinds of support we offer.
Get Support