Partner Referral Form

To enable us to provide information and advice for your client, we need you to provide us with specific details. Please complete the form below and click the Submit button to finish. We will aim to contact your client within 5 working days dependent on demand.

General Data Protection Regulation and the Data Protection Act 2018

By completing this on behalf of your client, you are confirming that you have their express permission to do so and the client agrees we can contact you in relation to this.

We collect and use your client’s personal information to help solve their problems, improve our services and tackle wider issues in society that affect people’s lives.

We have a legitimate interest to do this.

We only ask for the information we need. We always let the client decide what they’re comfortable telling us, explaining why we need it and treat it as confidential. If your client does not wish for us to keep their data, please inform us, but this may affect the information and advice we can provide to them.

Special Catagory Data

By completing this on behalf of your client, you are confirming that you have the clients express permission to divulge sensitive information (illness , disability, ethnicity etc)  and the client agrees we can contact them in relation to this.

More information is available on our privacy page

Please complete enquiry form

 

PERSONAL INFORMATION
CLIENT INFORMATION
OTHER INFORMATION