Referral to Care Support Wiltshire


Please note: This form is not to be used to refer a young carer – please refer to guidance notes here

Privacy Policy

Referrer Information

By submitting this form you are aware that Carer support Wiltshire will store these details on their database and contact the Carer by phone or email to provide support if indicated below.

Service Provision

Once registered/added to the database, the details submitted will be used to send you/the Carer an information pack and keep you informed about our services and Carer support events.

We also offer regular newsletters, keeping you up to date with news about Carer Support Wiltshire and support for carers from around Wiltshire. Please let us know how often and how you would like to receive this:

Carer Information

Caring Situation