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Care and support assessments for adults - online form

This online form can be used to request an assessment of social care need for adults.

If you wish to refer someone you know, you must have their consent to do so.

Please do not use this form for urgent or emergency enquiries. Please contact Common Access Point for Health and Social Care (CAP) if you have an urgent referral. Our opening hours are 8.30am - 5.00pm Monday to Thursday and 8.30am - 4.30pm Friday.

If there is an emergency outside these office hours please contact the Emergency Duty Team.

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