Complete the form below or if you would like a discussion prior to referral, please contact us.
(for contacting regarding appointment times etc.)
(Please tick all that apply to help us identify the best service(s) to meet your needs)
I hereby give permission for information relating to me and my support/advice needs to be recorded, processed and shared by, and between, the referring agency and The Bridge, Spire Homes and Citizens Advice Rutland (Rutland Access Partnership) alongside Age UK and Vista with the understanding that this will not be disclosed to third parties without prior consent (unless there is a risk of harm to myself/others or criminal activity).
(For monitoring purposes please complete all sections. Tick only one box in each section)
Rutland Access Partnership, Age UK and Vista collect and hold personal data about service users for whom they provide support and advice. We use this data to:
This includes personal characteristics and sensitive information relevant for the services we provide. The information we collect may be stored electronically, on paper or a mixture of both, and we use a combination of working practices and technology to ensure that your information is kept confidential and secure.
We will not disclose any information that you provide ‘in confidence’ to anyone else without your permission, except in the few situations where disclosure is required by law, or where we have good reason to believe that failing to share the information would put someone at risk.
On occasion, we will provide personal information to external organisations who are working with us on a specific project or delivery of specific services. This is done under strict agreements regarding the security and confidential use of all personal data.
Click the button below to download our referral form.
Need help or would you like to talk to someone?
Tel: 01572 725805