Referral Form for Liverpool Floating Support Service

Who is this referral form for?

Please note, this particular referral form is intended for Creative Support’s Liverpool Floating Support Service. If you require a different service please contact our Head Office on 0161 236 0829 who will re-direct you to the service you require. This online referral form is intended for mental health professionals and other agencies working in Liverpool.

Supporting Documents

Liverpool Floating Support Service Leaflet (pdf)

Liverpool Floating Support Service Eligibility (pdf)

Referral Form Consent to Disclosure (pdf)

Cofidentiality and Privacy

The referral form below uses a system provided to us by www.formsite.com. The system is fully encrypted using a technology called SSL. This means that when you fill out the form and submit it, the information is sent and kept in a secure manner and will remain confidential.

Only authorised Creative Support personnel will be able to view the information sent via this form.

Referral Form