Contact and adult care referral form for professionals

If you’re looking for information, advice and guidance for adults, you can find it online on adults and older people.

If you're a professional and want to:

• contact us about safeguarding, use the safeguarding form
• refer an adult to Occupational Therapy, use the Occupational Therapy referral form

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

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.

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 answer all questions unless marked as optional.