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
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

Children's Independent Domestic Violence Advisor (CIVDA) Service

Please visit the CIDVA page for more information.