Making a referral

Who is The Link Visiting Scheme For?

The Link is aimed at anyone who is isolated or lonely and who would benefit from receiving a regular visitor. The majority of those visited are older people, but there are no age restrictions applied. We visit those who are mobile or

those who are housebound. If you are interested in learning more do get in touch. We’d love to chat with you.

If you are a friend, neighbour or a member of an organisation and would like to refer someone onto the scheme, please comlete the form below (in confidence) and press the 'send' button. We will make contact with you to discuss this further. Should you wish to complete a paper referral form, please click here and send the completed form to us at the address shown under 'Contact Us'

Name of client:

Address:

Town:

Postcode:

Telephone:

Date of Birth:

Name & telephone of GP:

Name Social Worker (Where applicable):

Is the client aware of and agreeable to receiving a visit?

Notes/Additional information:

Your name:

Organisation:

Your Telephone Number:

Your Email: