Begin your New Referral Form
Or keep scrolling to learn more about eligibility and your Referral Journey with TDS
Are you a professional making a referral for your client? Click here to find our forms for Professional Referrers
Before you begin the referral process
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 Manchester City Council neighbourhood. Check our list here.
OR
-
They live in a North Trafford ward.
If the person with dementia does not meet the above criteria, we will be unable to accept a referral for them.
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.
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.
1 Referral
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