This referral process is for service users who are homeless or threatened with homelessness. For all other issues, please contact Careline.
Please do not continue with this form, as it cannot be submitted.
You must get the service user’s consent to make this referral.
You must obtain the service user’s consent for Housing Options to contact them about this referral.
(e.g. support worker)
A full description is required.
If service user does not have a phone, please provide c/o contact below, or enter 'not available'.
By submitting this form, you confirm that you have had consent to do so from the service user.