Make a referral

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To make a referral to our service, please download the referral form you need below then email your completed form back to us at at yvc.uk@nhs.net. 

 

You can also contact us for advice or to discuss a referral by emailing yvc.uk@nhs.net or calling 0191 478 6472 (freephone 0800 048 7856).  For more information about the different types of advocacy we provide, please visit Advocacy | yourvoicecounts (yvc.org.uk).

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Statutory advocacy referral form (Newcastle, Gateshead and South Tyneside)

 

This form is for Care Act Advocacy, Independent Mental Capacity Act Advocacy and Independent Mental Health Advocacy in Newcastle, Gateshead and South Tyneside:

 

• Statutory advocacy referral form (word doc)

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General non-statutory advocacy referral form (South Tyneside)

 

This service is for residents of South Tyneside only. Referrals can be made by professionals with the individual's permission or by individuals who want to refer themselves. General advocacy focuses on specific issues, and the case will be closed once the issue is resolved as much as possible.

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• General advocacy referral form (word doc)

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NHS Independent Complaints Advocacy (Newcastle and Gateshead)

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• NHS ICAS referral form (word doc)

• NHS ICAS consent form  

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Spot purchase requests from local authorities

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• Spot purchase referral form (word doc)

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Advocacy for people with learning disabilities

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• Easy Read referral form for people with learning disabilities (word doc)

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