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ShieldsCareLimited

Referrals

Refer someone to ShieldsCare

For social workers, commissioners, health professionals, families and self-referrals. Share what you know now — we will come back to you with any questions.

Referral form

About you (the referrer)
About the person being referred
Support required
Type of service
Support needs

Include hours, routines, communication needs and what a good outcome would look like.

Risk information

Share what you can now. Anything missing can be covered at assessment.

Supporting documents

Assessments, care plans, risk assessments or other relevant paperwork.

PDF, Word or image files, up to 10MB each. Maximum 10 files.

Consent and data protection

Reassurance

Your information is handled carefully

Referral information and uploaded documents are stored securely and are only accessible to authorised ShieldsCare staff. See our privacy policy for full details of how we handle personal data under UK GDPR.