Please complete the form as fully as possible before submitting. Referrals can be made on behalf of an individual or as a self referral.
We endeavour to respond to all referrals within 48 hours.
The Department of Health defines a vulnerable adult as a person who is aged 18 or over that is or may need community care services because of a disability (mental or other), age or illness and is someone who could be unable to look after themselves, or protect themselves from harm or exploitation.
Please indicate any areas of need for this referral
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