Make a professional referral

For example as a care provider, GP, clinician

This contact form is unavailable

For essential upgrade or maintenance, this form is currently unavailable. Please return and submit your referral tomorrow. Here are other ways you can get in touch or access support.

  • If your request is urgent and you need support in the next 24 hours contact us by phone.
  • If you or someone else is in imminent danger, phone the police on 999, or call them on 101 if it is less urgent

Contact us by phone

Please be aware, at busy times there may be a wait for your call to be answered

0300 555 1386

  • Monday to Thursday 8.30am to 5pm
  • Friday 8.30am to 4.30pm

Out of hours 0300 555 1373

  • Monday to Thursday 5pm to 8.30am 
  • Friday 4.30pm to Monday 8.30am 
  • All day on Bank Holidays
  • Step 1
  • Step 2
  • Step 3
  • Step 4
  • Step 5
  • Step 6
  • Step 7

Initial questions

  • Has the individual consented to you making this request? required
  • Is the individual over 65? required