Manchester City Council

Social Care for Adults Online Referral

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:

You have about 30 minutes to fill in each page of this form.

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