Make a referral to Changing Connections - Rutland

Service access criteria

Tick to confirm you have checked the service access criteria "To help make our services available to all, we are able to work over the phone, texts and emails. If face to face is something you are more comfortable with, we are able to meet up in areas local to you. Whether that is a near-by coffee shop, a walk in your village or a chat on an accessible bench, we aim to make this service accessible and person centered.   If you have any concerns, please contact us and we will make sure you are comfortable and happy throughout our work together."

Your Details

Who are you referring?

Don't know / client doesn't have an email address

Additional referral details

Other:
Other:

Confirmation and consent

Tick to confirm you have gained consent to share this information with the service provider, your organisation and Joy
Tick to confirm the service provider can directly contact the client

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