Make a referral

Carers in Southampton accepts referrals for carers of adults and children but can only provide carers assessments for carers of adults over 18.  If there are young carers in the household please make your referral to the Young Carers service.  Before you refer, please note that carers are able to complete carers assessments online by themselves or with your support here.  If you are referring a carer to our service as a professional please click the link below, complete the form with the full consent of the carer, and return it to Carers in Southampton.  

Professionals referral form

To complete this as a fillable PDF you may need to select an option to download in Acrobat, when prompted or on an Apple device, select the option to Create PDF.