About this form
If you are a professional (such as an occupational therapist, social worker etc*) looking to refer an adult carer to our services, please complete the form below. NB This referral means a carer can access ALL our support for adults, including our Moving & Handling service, and Armed Services support.
If you’re looking to register yourself please visit this page.
To refer a young carer to our services, please visit this page.
*Please note that GPs should use the Carer’s Prescription here.
Professional referral form