Referring yourself or someone else

In order to use our services, a person must be referred to us and receive an assessment visit or phone call from one of our Dementia Group Leaders.

You can be referred to our services either by a professional who works with you, or you can either complete a self-referral or complete a referral on behalf of a loved one. 

Please note that we can only accept referrals for people living in the Manchester and Trafford areas due to our funding being geographically restricted. 

If you need to check that you are eligible to receive support, please email admin@togetherdementiasupport.org or call our office on 0161 226 7186 on any weekday, 9.30am-5pm. 

Which form do I need?

Referral / Self Referral Form

Click on the icon above to download this form is you are:

  • A person living with Dementia who wishes to access our services 

  • A carer for a person living with Dementia and you wish for both yourself and your cared for person to access our services

  • You are a professional who wishes to referrer a person living with Dementia or a person living with Dementia and their carer to access our services

Carer Referral / Self Referral Form

Click on the icon above to download this form is you are:

  • A carer for a person living with Dementia who wishes to access our services on your own

  • You are a professional who wishes to refer a carer only to our access our services

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 the below Journey Map to help better explain what will happen next. 

Remember that at any stage of your referral with us, you can call our office on 0161 226 7186 advice, guidance and support on any weekday, 9.30-5pm, or you can email admin@togetherdementiasupport.org any other time.

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