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Start your journey

A new member or carer must be referred to our services

and undergo assessment before we are able to support them. 

Before you begin the referral process

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Check that you are eligible

We are only able to support people who meet the following criteria:

  • There is a diagnosis of dementia, or there is an assessment for dementia currently ongoing


  • They live in a North Trafford ward.

      Check our list here.

If the person with dementia does not meet the above criteria, we will be unable to accept a referral for them.

Unsure if you are eligible? 

Have a chat with our team and we'll clear it up.

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Make sure you have everything you need

Before you start your New Referral Form, you will need to have to hand:

  • The date of the dementia diagnosis, or your nearest estimation

  • Who made the diagnosis

  • The name and address of your GP

We can no longer accept incomplete New Referral Forms.  You must answer every question on the form in order for it to be processed.


Download the New Referral Form

People living with dementia & their carer(s)


If you are a referring:

  • a person living with dementia

  • a person living with dementia  and their carer

  • for our Together @ Home service

Click on the icon to download our

New Referral Form.

Carer Only referrals


If you are a referring:

  • a carer of a person living with dementia only

Click on the icon to download our

Carer Referral Form.

Having trouble downloading? 

Give us a call for tech support, or request a form be posted to you.

Returning your form to us

When you have completed your form, send it to the following email address:

Or if you prefer, you can print it out and post it to:

New Referrals

Together Dementia Support

Kath Locke Centre

123 Moss Lane East


M15 5DD

We will acknowledge receipt of your referral

as soon as possible.

Download forms

What happens next?

Your Journey with Together Dementia Support

We want your referral journey with Together Dementia Support to go as smoothly as possible, so we've created a Journey Map to help better explain what will happen next. 

You can contact us any time

At any stage of your referral journey with us you can phone for advice, guidance or support any weekday between 9.30am - 5pm.

You can also e-mail us and we will reply to you as soon as we can.

1 Referral

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Next steps

Eligible Neighbourhoods

Manchester City

  • Ancoats & Beswick

  • Ardwick

  • Baguely 

  • Brooklands

  • Burnage

  • Charlestown

  • Chorlton

  • Chorlton Park

  • Clayton & Openshaw

  • Crumpsall

  • Deansgate

  • Didsbury East

  • Didsbury West

  • Fallowfield

  • Gorton & Abbey Hey

  • Harpurhey

  • Higher Blackley

  • Hulme

  • Levenshulme

  • Longsight

  • Miles Platting & Newton Heath

  • Moss Side

  • Moston

  • Northenden

  • Old Moad

  • Piccadilly 

  • Rusholme

  • Sharston

  • Whalley Range

  • Withington

  • Woodhouse Park

North Trafford

  • Clifford / Old Trafford

  • Gorse Hill

  • Longford

  • Stretford

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