Make a Referral

Make a Referral

As a professional we accept referrals from you, either by email or fax. Our referral form can be found below, and we will accept any number of clients. We aim to make phone contact with families within 5 days, and are then happy to make an appointment to visit them in their own home

Please note that we are a CARERS service and we do not offer service to a person with dementia without a carer.

We try to visit carers in their own home initially. We have a standard service offer of 6 home visits. This is usually enough to solve any immediate crisis, but can be extended beyond that on discussion at case management meetings and with the approval of a manager. Our carers are generally with us for many years, and we would expect to make further visits as the situation changes.

To send a referral by fax, download

the form below and send to:
0121 553 4372

To send your referral instantly use our contact form;


Form provided in Microsoft Office Word Document Format.

If another format is required, please contact us

Referals sent will be evaluated within business hours