Make a Referral to Adults Social Care

If you are a professional, you can make a referral for an adult needs assessment

Referral Information

Please note, if you are raising concerns about an adult who is at risk of abuse or neglect, you will need to do this on our Safeguarding Referral page.

I would like to make a Safeguarding Referral

Making a referral for an adults need assessment

First, if you can, speak to the person to ensure they want help from us. We may not be able to help someone who does not want it.

What we will need to know

Please provide as much information as you can about them. Tell us about the person you are referring, including their:

Name
Date of birth
Address
Doctor's contact details
Next of kin contact details
If they have any communication needs, for example sign language interpreters or documents in braille

We also need to know what they are struggling with. This could include:

Washing and dressing
Using the toilet
Preparing food and drink
Getting around
Managing money
Cleaning and maintaining the home
Relationships with family and friends
Caring for other people, for example children

About you

Tell us about you, including:

Your name
Your job title and place of work
How you know the person you are referring
How you think we can help the person

Make a referral

You can make a referral by completing our online form. The form should take approximately 10 minutes to complete.

If you need advice regarding making a referral over the portal, call Adults Services on 01642 065 070, press option 1,1,1,1 (you have to press Option 1 four times once you have called the number).

You can also save your form and return to it later if you wish.

I would like to make a referral for an Adult Needs Assessment I would like to recover a saved form Return to Home