This form has 7 pages
When you make a request for social care services to Manchester City Council we call it a "referral". Please note that online referrals will not be treated as emergencies.
If you have an emergency please ring the contact service for social care on 0161 234 5001.
You are agreeing that any information contained in this referral can be shared with other appropriate council officers in accordance with the Data Protection Act.
About this form:
When you go through the form, you have about 20 minutes to complete each page. Don't use your normal 'Back' button to return to an earlier question, but use the 'Previous' button on the page you are on. Questions marked * can't be left blank.