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:

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 NHS & Social Care Complaints Advocacy Referral Form

Download Rule 3A Representative 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 either emailed to [email protected] or

faxed to (01254) 898898.