Making a referral for someone else

Friends and family

This guide shows you how to fill out the referral form when requesting support on behalf of someone else.

You must have permission of the person being referred to make a referral on their behalf as you will need to share their details on the form.

Alternatively you can call our Support Team to make a referral on 0808 196 3382^[1]. 

Page last reviewed: 05 June 2024

Select that the support is for someone else, it’s for me is a self-referral.  

Then select No in the ‘Are you referring on behalf of an organisation’ drop down menu, this is for professional referrers like GPs.   

Then you will need to select the local authority area of the person you are referring, this is so that the support available in that area will display for you to select from. 

Page last reviewed: 05 June 2024

Select the type of support you are requesting from the available options. For details on these support services please see our I’d like support^[2] page for details of available services. Please note not all of the support options are available for self referral.  

When you select the type of support the available activities for this category will be displayed. Select the activity you would like to refer the person for. Details of the available activities are in the guide below. 

Telephone Support

Friendly chats to reduce loneliness and improve wellbeing.

Available activities:

• Check In and Chat Call^[3] - from different volunteers each time
• Companionship Calls^[3] - from the same volunteer (up to 3 calls per week for 6 weeks).

Page last reviewed: 05 June 2024

Telephone Support

Check In and Chat Call

You will need to fill out the following details:

• Frequency - One-off, daily, weekly
  • If one-off also select the Preferred day/date – yes or no and if yes, the preferred day/date – date and time, followed by the number of weeks the support is required for from 1 to 18 weeks. 
  • If daily select which day or days Monday to Sunday, followed by the number of weeks the support is required for from 1 to 18 weeks. 
  • If weekly also select the Preferred day/date – yes or no and if yes, the preferred day/date – date and time, followed by the number of weeks the support is required from 1 to 18 weeks. 

Telephone Support

Companionship Calls

You will need to fill out the following details:

• Preferred day/date - yes or no
  • If yes preferred day/date – select date by clicking on calendar and the time can be selected from the list of available times.

Page last reviewed: 10 October 2024

Enter your details, including your relationship to the person you are referring, this is so you can be contacted if there are any issues or we need to follow up. 

Page last reviewed: 05 June 2024

Fill out the details of the person you are referring, the volunteer will need these to make contact so please ensure that they are correct before you submit the form.  

You will need to enter the preferred language of the person you are referring, this is so we can try and match a volunteer with this language. You can also request the information letter in a format that suits the person please select from the options available in the drop-down menus.  

Page last reviewed: 05 June 2024

Then you need to enter the GP details for the person you are referring. This is so we can contact them if there is a concern such as the volunteer has been unable to make contact.

Page last reviewed: 05 June 2024

Finally complete the consent box that confirms the person is aware of the referral and that you have their permission and the consent box that confirms they are suitable as per the programme criteria, then select Register Referral.

If you need help to complete this form please contact the Support Team on 0808 196 3382^[1].

Page last reviewed: 05 June 2024