BETA 2018 Referral to Adult Social Care
You can complete the online referral if you think you might need support, information or an assessment from the Council.
An online referral is a simple form where you can tell us a little about you and what you might need support with.
On receipt of the referral form we will contact you to have a conversation about things you can do to help yourself, or to arrange an assessment.
You can send a referral for someone else but you must have got their permission before starting the form.
If the person has not given permission, Wiltshire Council will not be able to progress the referral.
If you don’t think the person has the ability to give permission for you to make a referral please ring 0300 456 0111 to discuss further.
You will need to give us your email address and the email address of person being referred. They must be different email addresses. An account will be created in your name.
When you submit the form an email will be sent to the person being referred.
The email will say a referral has been received on their behalf. They will be invited to activate their account. Once this is done they will be able to see the referral you have sent on their behalf.
The person being referred can request that someone else is given access to their account to see information / manage their account. Wiltshire Council would confirm this request with the person being referred prior to access being given.
Choose the 'Click for Next Step' button below and follow the instructions
Other Ways to Refer
You can also 'phone the Council on 0300 456 0111 to have a conversation about your care and support needs.
Please answer all the questions in the form and provide as much information as you can. This will help us understand your situation and what support, advice and information you might need.