I would like to refer SOMEONE ELSE to WISH Plus

Complete this form if you are referring SOMEONE ELSE (not yourself) to WISH Plus because you consider the person would benefit from receiving support to keep Well and Warm, manage their Income (and money), stay Safe in the home, and receive Health and well-being services.


 

 

 

 

 

 

 

 

 

 

 

After we have spoken to the client on the phone, we will be sending them an update of the referral by email.


 

 

 

Is this referral related to Making Every Contact Count?


 

 

 

 

 

We will send you an update by email of the referral you made.