This form is for professionals to refer a carer into adult social care. If you are a carer wishing to refer yourself please go to our
carers self assessment instead.
This form needs to be completed from the perspective of the carer with as much information as possible to enable the referral to be processed and triaged quickly.
See our
webpages for information about the support that is available for carers in Surrey.
A helpful guide to using our portal forms is available.
You will need to create an account and login to submit the referral.