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This form is only for professionals. If you’re not a professional and would like to make a referral, use the Adult Care Referral Form for the public.

If you're a professional and want to contact us about safeguarding, use the safeguarding form

For advice and support for carers visit the Carers Support Centre.

You should fill in this form if you:

think that the person you want to refer has care and support needs and would like to discuss these needs with somebody
want to follow up a referral that already has been made
want to add information to a referral already made

You must complete the form as fully as you can. A lack of information is likely to cause a delay and may leave a person unsafe.

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