Please note this page is only for Health & Social Care Professionals to refer carers for our services.
Use this link in blue text if you are an unpaid carer wanting to Join our Community of Carers >>>

Please note the form has 3 sections to complete to refer a carer for our Universal Service.
There is an additional 4th section of the form if referring a carer for our Assessment Service.
Each section will appear after you've entered the details and clicked the SUBMIT button.

Before starting the form, it may be useful to use this link to read our Referral Guidelines >>>
The guidelines includes some special notes about forms completed in August and September 2024.
If you need any help please email [email protected] or call us on 0114 278 8942.

To help us contact and support carers please complete the referral form as fully as possible.
This includes providing their email address if they have one.

Thank you for referring a carer to our services.

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Original text from Sylvia & James

Before completing this form, please see our referral guidance [ADD LINK].

If you are a carer, please use this form instead to Join our Community of Carers [ADD LINK].

To help us contact and support carers as best possible, it is appreciated if you can complete the referral form as fully as possible including providing an email address for the carer if they have one.

AUGUST-SEPTEMBER 2024 – Please also see notes at the bottom of the form.

*Please ensure all the highlighted mandatory fields are completed.

After clicking submit, the form will refresh, and you can close the browser window.

We’ll record the personal data you provide in accordance with our Privacy Policy [ADD LINK].

If you need any help with this form, please email [email protected] or call 0114 278 8942.

AUGUST-SEPTEMBER 2024

Please note the following about the question which asks which team or service you work for. Our IT providers are working to filter the options here depending on which organisation you work for. Until this work is completed, it would be appreciated if you can try to find your team or service from the drop-down menu.

If you type the first letter of the team you work for this may help.

Alternatively, teams and services are grouped as follows:

• Voluntary and community sector
• Adult Care & Wellbeing
• GPs
• Primary Care Networks
• Sheffield Health and Social Care NHS Trust
• Sheffield Teaching Hospitals
• Sheffield council (other than Adult Care & Wellbeing)
• Other

Thank you for your patience with this and for your referral.