Skip links

Opening Hours: Mon 9am-4pm | Tues - 9am-4pm | Wed 9am-7pm | Thurs 9am-4pm | Fri 9am - 4pm | Sat 10am- 12pm
Helpline number: 0300 028 8888

Register as a Carer
Donate
Events
Click to Search

Register

Donate

Help

Back to Form Options

Professional: Refer A Carer

This is the form for professionals such as Social Workers or Health Professionals to use to refer a carer. If you are a WSCC Adult Social Care Professional and wish to refer a carer for a Statutory Carer Assessment, please do not use this form. Instead, complete an Initial Contact for the carer via Mosaic.

If you are a carer and you would like to refer yourself to Carers Support West Sussex please click here.

Privacy Statement

Information will be processed securely and in line with current data protection legislation. Any personal or sensitive information, such as health and ethnicity, that is provided to Carers Support West Sussex or shared with them by the carer may be recorded and is used for the purposes of providing advice, information and support to them in their caring role.

Our Privacy Policy provides full details explaining why we collect their information, how we use it, who we may share it with and sets out their rights in relation to their data. You can find our privacy policy here.

It is recommended that the carer also reads this information. If the carer has any questions about how we use their data, they may contact our Data Protection Lead on dpo@carerssupport.org.uk.

Privacy statement declaration*

I confirm that I have explained the privacy statement at the top of this form to the carer and how CSWS use their data and where they can find out more about their rights in relation to their data.

Referrer declaration*

I confirm consent has been gained from the carer (either verbally, by email or in writing) for Carers Support West Sussex to process the information contained on this form and that they are happy to be contacted by their preferred method.

Once a referral is received, if contact has been requested, one of our wellbeing workers will contact the carer within 10 working days. You will receive confirmation once we have attempted contact. Please do not chase your referral before 10 working days. Hospital referrals will be picked up sooner.

 
 
 

Details of the person or people being cared for