Make a Referral

If you are interested in employing your own Personal Assistants and would like to use our services, please complete the referral form below.

Person requiring support

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Contact Person/Employer

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Name of Professional

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Additional Information

If you would like to include additional information with the referral or an SS2 Costing (Adults & Health), please email this to [email protected]

Funding Stream *

Adults and HealthPersonal Health Budget (PHB)Personal Health Budget via the LD Joint Pooled BudgetCYPSC Direct PaymentsChildren’s PHBEducation Health Care PlanSelf-Funder

Support plan information

Funding approvedPA IdentifiedMBA (only)MBA (Included)

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Registered Office Address: Armley Grange Drive, Leeds, West Yorkshire, LS12 3QH.
Registration Number: 07534989 (England and Wales) and Charity Number: 1147077.