Manchester Carers Centre

PROFESSIONALS

If you are a professional and you wish to refer a Carer to our services then please fill in the form below with as much detail as possible. Before completing this form you must have consent from the Carer to share their details with Manchester Carers Centre.

Professional Details

Carers Details

What is your preferred method of contact? TelephoneEmailLetter
Do you work? Part-TimeFull-TimeNoRetired
Would you like Information or Assistance with the following? (please tick all that apply)
Carers AssessmentCarers Trust GrantsTelephone/Email AdviceHealth & Wellbeing Support GroupsInformation on ServicesShort Breaks & Social EventsMembershipTrainingOne To One AppointmentYoung Adult Carers

Cared For Details

If you are happy to do so, please provide details of your Cared For below, to help us identify the best kind of support for both you as a Carer and the person you provide care for.

Please make sure the person you care for has given consent for you to provide their details below.

Cared For Address
Do you Care for More Than 1 person? YesNo

2nd Person Cared For Details

If you are happy to do so, please provide details of your Cared For below, to help us identify the best kind of support for both you as a Carer and the person you provide care for.

Please make sure the person you care for has given consent for you to provide their details below.

Cared For Address