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 firstname.lastname@example.org. 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: Health and Social Care Advocacy Care Act Advocacy Children and Young People’s Advocacy Health Complaints Independent Mental Capacity Advocacy (IMCA) Independent Mental Health Advocacy (IMHA) Relevant Person’s Representative (RPR) Dementia ServicesDownload the referral form here: Please send the completed form to email@example.com. Children's Independent Domestic Violence Advisor (CIVDA) ServicePlease visit the CIDVA page for more information.