Professional referral form

We support Carers who care for someone who lives within the City of Sunderland. For details of other carers centres in the region click here.



Please note, you need the consent of the person you are referring to us. If you are referring someone aged under 18 as a Young Carer, you will need the consent of the young person’s responsible adult.


Your details

Personal information you provide is held securely and is not shared with any other agencies unless there are any concerns around safety. Click here for our Carer Code of Confidentiality























Details of the Carer (the person you are referring)




































For example - The carer is the mother and cares for their son









e.g. Adult Services, Children’s Services, CAMHS, NTW





Information about the 'cared for' person


















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