Referral forms

Make a referral about a nurse or midwife using our forms

If you are concerned about whether a nurse or midwife is fit to practise, you can make a referral to us.

Please make sure you have gone through all the previous steps before proceeding to our referral forms below. 

Patients and public

Public referral form
For members of the public.

Employer form
For employers of the nurse or midwife being referred.
Employers should read about our Employer Link Service and engage with us for advice.

Third parties
Third parties referral form
For organisations or individuals making a referral in their professional capacity, where there is no employment relationship with the nurse or midwife.

This may include: other regulatory bodies; a doctor referring a nurse or midwife on behalf of their organisation; or a police officer making a referral on behalf of the police.

Nurses and midwives self-referral
Self-referral form
For nurses or midwives making a referral about themselves.


We are committed to making sure that our fitness to practise processes are accessible for everyone. If you need help to make a referral, would like our information in another format, or need us to make an adjustment because of disability or injury, please get in touch with us on 020 7681 5248.

Sending your form and evidence

Completed forms and evidence should be sent to or posted to:

Nursing and Midwifery Council
Screening Manager
Fitness to Practise
1 Kemble Street

Emails are limited to 25MB each, so please send large attachments in separate emails to ensure they will be received.

You will receive an automatic email response within seven days, confirming receipt and your unique case reference number.

Our staff are available to discuss your referral by telephone, email or letter.

Providing consent

We require your consent to send a copy of your referral and associated information to the relevant nurse or midwife, their employer and any other relevant party as required. We also require your consent for any healthcare provider holding relevant information about your referral (including medical or nursing notes) to disclose that information to us as required for our investigation.

By providing your consent, we can use your referral information and can update you on the progress of your referral. Please make sure that you complete the consent section on the referral form.

An important part of our work is protecting the public. Because of this, we can sometimes share someone’s personal data with others in order to progress an investigation or to report safeguarding concerns.


If you wish to remain anonymous you can still make a referral, however please be advised that you will not receive any updates on the progress of the investigation.

Although the nurse or midwife needs to be aware of the identity of a complainant, we respect patient confidentiality. At hearings, identities are usually kept anonymous. In cases where a complaint of a sensitive nature is made against a nurse or midwife (for example, sexual impropriety) and the patient is the sole witness, we try to make the hearing as easy as possible.

How we'll deal with your information

Initially we may only need to see copies of the documentation supplied as evidence. However, we may require originals if the case progresses to an adjudication committee.

We always hold paperwork securely. When we send information to the nurse or midwife concerned, they are warned that the documentation received is only to be used in connection with the investigation.

We may need to pursue additional information from others, in order to deal with your concerns.