Overview

Refer a carer to BCP Carer Support

If you're working with a carer who you feel would benefit from information, advice or guidance, you can refer them to us using our secure online form.

Please be specific about what support the carer is looking for - whether they’re in crisis, need emotional or practical support, or are simply seeking information. This helps us understand what matters most to the carer and respond in a way that’s timely and appropriate.

Referrer Details

If you have any queries before completing this form, please contact the Carers Support Service on on 01202 128787. This form should not be completed by workers in Adult Social Care. Please note, this form should be used for carers supporting someone in Bournemouth, Christchurch or Poole only. If you wish make a referral for someone who cared for someone in Dorset, please contact Carer Support Dorset on 0800 368 8349 or visit their website www.carersupportdorset.co.uk

Name of Referrer (required)

Organisation (required)

Address (required)

Telephone Number (required)

Email (required)

Has the carer consented to this referral? (required)

Carer Details

Please provide details of the carer below

Name of Carer (required)

Address (required)

Phone (required)

Is it okay to leave a message if they do not answer? (required)

Carer preferred method of communication (required)

Who do they care for? (required)

Condition/diagnosis of the person they care for: e.g. dementia, mental health etc. (required)

Please tell us any other information that might help us better support the carer.

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