Referral

Referral Hotline: 07791265970

Referrals can be made by Care Coordinators, Social Workers, Occupational Therapists, Resettlement Managers, Commissioners or Social Services for those people who do not receive support through a Care Plan Approach (CPA).

Secure Page

Option 1 | Download our referral form and send by encrypted mail

Download Word Version

Secure NHS email

To send secure emails to us please use the following email

hans.morano@nhs.net

Option 2 | Complete the referral form below

Referrer
Name*
First Last
Organisation
Phone*
Landline or Mobile
Email
Service User Information
Service User Initials*

Please do not include Service User's full name
Address
Street Address Address Line 2 City Postcode
Diagnosis/Mental Health/Physical conditions:
(Please provide as much information as possible. Include any support in place, restrictions, ADL skills, medication and CPA Level)
Incidents in the last 6 months
Other Information
Additional Information
(Please include any additional information i.e. desired discharge date)
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Eligibility Criteria

Aged 18+
Any gender identities
A CPA report and recent risk assessment
Service User is prepared to engage with support services provided
Service User’s current ADL (Assessment of Independent Living Skills) identifies a degree of independence
Commitment to address support needs e.g. Mental health, drugs/alcohol, gambling, anger management, education and leisure activities, etc.

Referral

Referral Hotline: 07791265970

Secure Page

Option 1 | Download our referral form and send by encrypted mail

Secure NHS email

Option 2 | Complete the referral form below

Referrer

Service User Information

Other Information

Eligibility Criteria

Get in Touch

Supported Housing

Make a Referral