You may wish to refer a patient or client to Action for Carers Surrey.
Links to referral forms for adult carers and young carers are below.
Please note, if you are a health care professional, working in Surrey, you should use the Carer’s Prescription, but for direct referral, you can also use the forms below.
And we are more than happy for carers to refer themselves. Adult carers can do that through our register with Action for Carers form. Young carers, and their parents/guardians should give us a ring on 01483 568269 or email firstname.lastname@example.org, but parents/guardians can also use the form given below.
To refer an adult carer
Please use this form: Referral form for an adult carer.
To refer a young carer (under 18)
Please use this form: Referral form for a young carer (under 18).
To refer to Moving and Handling services
Please use this form: Moving and Handling Professional Referral Form. Services are provided by Action for Carers and White Lodge.