LGBT Foundation Services - Service to Service Referral Form
LGBT Foundation are based in Manchester, UK, and aim to support to people across the country through a range of services including a national helpline. At the moment, some of our services including Talking Therapies (Counselling), Trans Advocacy and Substance Misuse have restricted eligibility, this means that we will not be able to accept referrals if you live outside of Greater Manchester.
Please complete the form below to refer someone to our wellbeing services. Once you have submitted this form, we will invite the service user to a remote assessment. All of our services are free at the point of care and we are here if you need us.
If you would like to refersomeone living outside of Greater Manchester, please contact us on 0345 3303030 or email@example.com. If we are unable to accept your referral, we will be happy to suggest some alternative sources of support.
Confidentiality is important to us and our service users. The information you share with us will be kept in the strictest confidence and in accordance with the Data Protection Act (2018). During the Intake and Assessment meeting, a member of the Services Team will explain to the service user the exceptional circumstances when confidential information will have to be shared. For example, if they or somebody else is at risk of significant harm or where there is a requirement in law in the case of serious criminal offences (in particular terrorism and money laundering). Where possible, we will try to get their consent before disclosing any information and do our best to help them.
For further information on our policy please contact 0345 3 30 30 30.
Confirmation of consent
By completing this form and clicking 'submit' below, you understand and agree to the following;
LGBT Foundation will collect information about you and the care you receive. This includes the client's referral form, assessments notes, paperwork related to the services that they access and correspondence related to their care.
Their information will be stored in either paper form and/or in electronic records. All data that is collected is subject to the strict rules of confidentiality laid down by Acts of Parliament, including the Data Protection Act 2018and the Health and Social Care Act 2001.
To ensure accurate information, prevent or detect crime or significant risk; including the protection of public funds, LGBT Foundation may obtain information about service users from other organisations. These include local authorities, the polices and/or other healthcare professionals.