Care and support assessment referral

You can complete the self-referral form if you think you might need support, information or an assessment from the council.

A self-referral is a simple form where you can tell us a little about yourself and what you might need support with. On receipt of the referral we will contact you to have a conversation with you about things you might be able to do to help yourself or to arrange an assessment.

You can complete the form for yourself or someone else. If you send a referral on behalf of someone else you will need to ensure that you have obtained their consent before sending this. If the person has not agreed, North Somerset Council will not be able to progress the referral.

Urgent enquiries should be telephoned through to Care Connect on 01275 888801