Referral Guide

Please download the relevant form for your needs by clicking on one of the links below.

Download referral forms here to request an Independent Advocate for Lancashire:

• Download Independent Care Act Advocacy Referral Form
• Download Independent Mental Health Advocacy (IMHA) Referral Form
• Download Independent Mental Capacity Advocacy (IMCA) Referral Form
• Download NHS & Social Care Complaints Advocacy Referral Form
• Download Community Advocacy Referral Form

Download referral forms here to request an Independent Advocate for Trafford:

• Download Independent Care Act Advocacy (ICAA) Referral Form
• Download Independent Mental Health Advocacy (IMHA) Referral Form
• Download Independent Mental Capacity Advocacy (IMCA) Referral Form
• Download Health Complaints Advocacy Referral Form
• Download Child Protection Advocate Referral Form
• Download Spot Purchase Trafford Referral Form

Download referral forms here to request an Independent Advocate for Rochdale:

• Download Rochdale Children's Advocacy Referral Form [For all services including; Independent Advocacy, Care Leaver's Advocacy and Independent Visitor]

Download referral forms here to request an Independent Advocate for St Helens:

• Download St Helens Children's Advocacy Referral Form

Spot Purchase Advocacy

• Download a Spot Purchase Referral Form

Get in Touch

• If you are still unsure which form of Advocacy is right for you, please just give us a call to discuss your needs on 0300 323 0965.

All referral forms need to be emailed to [email protected]