Make a Referral

We want to make referring to our services as simple as possible. Here you can refer to us by selecting the appropriate service below:

 
Advocacy and Health Complaints Services

           

Please send the completed form back to makeareferral@blackpooladvocacyhub.org.uk.
Once we have received the referral we aim to be in contact with you within 48 hours.

Please be sure to check the eligibility criteria listed on our advocacy pages:

Dementia Services

Download the referral form here:

Please send the completed form to admin@empowermentcharity.org.uk.

Children's Independent Domestic Violence Advisor (CIVDA) Service

Please visit the CIDVA page for more information.