Partner Referral form
Data Protection
By filling out this form on behalf of your client, you confirm that you have their clear permission, and that they agree we can reach out to you if needed.
We collect and use client information to assist with their issues, improve our services, and address wider social issues affecting people’s lives. We only request the necessary information and always let the client choose what they’re comfortable sharing. We treat all information as confidential. If the client prefers that we do not retain their data, please let us know, though this may limit the support we can provide.
Sensitive Information
If this form includes sensitive details (e.g., health, disability, ethnicity), you confirm that your client has agreed to share this information and that we may contact them directly about it.
For more on how we protect data, please visit our privacy page.
Please complete the form and provide as many contact methods as possible to improve our chances of reaching the client.