Referring people to Action for Carers

Referring people to Action for Carers

Professionals may wish to refer their clients directly to Action for Carers Surrey. The forms are below.

Please note, health care professionals in Surrey are encouraged to use the Carer's Prescription (see below).

Referral form

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 syc@actionforcarers.org.uk, but parents/guardians can also use the form given below.

To refer an adult carer

Please use this form:
(NB this referral covers all of Action for Carers’ support for adults, including referral to our Moving and Handling service.)

Referral form for an adult carer

NB We also have Guidance on referring a young adult carer (aged 18-24).

To refer a young carer (under 18)

Please use this form:

Referral form for a young carer (under 18)

And please see our Guidance on referring a young carer (under 18).

To refer to Moving and Handling services

Action for Carers works in partnership with charity White Lodge to provide Moving and Handling services for carers in Surrey, splitting the county geographically.

If the person you wish to refer lives in Guildford, Waverley, Mole Valley, Tandridge, Reigate or Banstead, please use our (Action for Carers) standard referral form, which includes a question on Moving and Handling needs.

If the person you wish to refer lives in Epsom & Ewell, Elmbridge, Runnymede, Spelthorne, Woking or Surrey Heath, the support comes from White Lodgemore information and their referral form here. You can also call them on them on 01932 577993 or send an email to MHadvisors@whitelodgecentre.co.uk

To refer to White Lodge

Refer an adult carer to Action for Carers Surrey

Please use this form to refer an adult carer to our services.

Referral form