Direct Professional Referral Form
If you are from the NHS, Police, a Care Home or other Professional Organisation, use this form to make a social care referral.
This service is for
Professionals to contact our Customer Service Centre about Adult Social Care and Support.
To receive care and support your patient or service user will need to live in Nottinghamshire.
You will need
To help us deal with your enquiry as quickly as possible please include the following details:
- your name and contact details
- the name and contact details of the person you are referring
- the NHS number (if applicable)
- the reason for your referral.
What will happen next
The information you provide in the form will be reviewed by our customer service team, they will contact the patient or service user to talk about what happens next.
In the first instance they might be offered:
- information and advice
- short term support to help them get back on their feet.
You will be able to download a copy of your completed form and will be notified of the outcome of conversation had by the Customer Service Centre, via email.Refer now
Alternative ways to do this
If the needs are of an urgent nature or you're unable to complete the form online you can contact our Customer Service Centre on 0300 500 80 80 and select Option 1.