Make a referral

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To make a referral to our service, please download the referral form you need below then email your completed form back to us at at yvc.uk@nhs.net. 

 

You can also contact us for advice or to discuss a referral by emailing yvc.uk@nhs.net or calling 0191 478 6472 (freephone 0800 048 7856).  For more information about the different types of advocacy we provide, please visit Advocacy | yourvoicecounts (yvc.org.uk).

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Statutory advocacy referral form (Care Act Advocacy, Independent Mental Capacity Act Advocacy, Independent Mental Health Advocacy)

 

• Statutory advocacy referral form (word doc)

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General advocacy referral form (non-statutory advocacy. General advocacy referrals can be made by professionals (with the individual’s permission) and by individuals who wish to self-refer)
 

• General advocacy referral form (word doc)

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NHS Independent Complaints Advocacy

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• NHS ICAS referral form (word doc)

• NHS ICAS consent form  

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Spot purchase requests from local authorities

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• Spot purchase referral form (word doc)

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Advocacy for people with learning disabilities

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• Easy Read referral form for people with learning disabilities (word doc)

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