Initial referral enquiry

Tell us what kind of home and support is needed.

This short form starts the conversation. A referrals team member will respond and explain how to share assessments or clinical documents securely.

Call 07398 038 240 Email referrals

Start the referral

Do not include medical records, risk assessments, identification documents or other highly sensitive attachments here. We will arrange an appropriate transfer method after initial contact.

How we use this informationWe'll use your details to review this initial referral enquiry and arrange the appropriate next step. If the enquiry progresses, the housing and care teams will explain how your information is used and shared. Give only a brief summary here. Do not include reports, detailed medical or risk information, identification documents or safeguarding evidence; the referrals team will arrange an appropriate transfer route. Read our Privacy Policy for information about the data controller, retention and form security.

Your contact details

First name

Last name

Email address

Phone number

Organisation

Your role

What is needed?

Who is the referral for?

Preferred area

Briefly describe the home and support being soughtPlease give a short overview only. Do not paste reports, medical records or detailed risk assessments into this form.

Confirmations

I confirm the person seeking support is aged 18 or over.I am the person seeking support, or I have their permission or authority to make this enquiry for them.I have read the privacy notice and understand how SLS will use this information.

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Referrals are reviewed Monday to Friday, 9am to 5pm.