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Adult Carers: Request Support

Requesting a Care Service is simple: Carers and professionals can fill out our online referral form and a Care Coordinator will be in touch to carry to arrange an assessment and discuss what kind of service we can offer.

Adult Carer Service Enquiry Form

    To be compliant with GDPR please confirm you have consent to share personal information on any person you have named on this referral. If not, please ensure you get their permission before making this referral.

    Referrer Details

    Person with Care Needs

    Carer Details

    Care Situation & Needs

    Care Being Requested

    Professional Contact Names

    Our work is proudly supported by:

    Arnold Clark
    Ballinger Charitable Trust
    BBC Children In Need
    Community Foundation
    The D'Oyly Carte Charitable Trust
    Garfield Weston Foundation
    Gateshead Cares
    Gateshead Council
    Hadrian Trust
    The Hedley Foundation
    LGA Foundation
    Masonic Charitable Foundation
    NHS
    The Rothley Trust
    Sir James Knott Trust
    The Triangle Trust
    UKRI Innovate UK
    Arnold Clark
    Ballinger Charitable Trust
    BBC Children In Need
    Community Foundation
    The D'Oyly Carte Charitable Trust
    Garfield Weston Foundation
    Gateshead Cares
    Gateshead Council
    Hadrian Trust
    The Hedley Foundation
    LGA Foundation
    Masonic Charitable Foundation
    NHS
    The Rothley Trust
    Sir James Knott Trust
    The Triangle Trust
    UKRI Innovate UK
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