Make a Referral

Referral Hotline: 073 67989777

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).

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

Click on the link below to send encrypted emails or attachments to us. Please send your completed form to

Send Secure Encrypted Email
Option 2 | Complete the referral form below


Landline or Mobile

Service User Information

Please do not include Service User's full name
Street Address
Address Line 2
(Please provide as much information as possible. Include any support in place, restrictions, ADL skills, medication and CPA Level)

Other Information

(Please include any additional information i.e. desired discharge date)
Eligibility Criteria
  • Aged 18-65
  • A CPA report and recent risk assessment
  • Service User is prepared to engage with support services provided
  • Service User has the ability to pay rent and/or access sufficient welfare benefits to ensure rent is paid
  • 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.