Make a Referral

You can make a request for our help yourself or someone can do this for you with your permission. In order for us to help you or help a person you know they must:

• Live in Peterborough,
• be aged 18 years old or older and
• Have a Learning Disability and/or Autism

We have 2 different options to make a referral which are:

• A professional, friend or family member can make a referral for you online. This is called a Third Party Referral and can be completed by clicking here.
  
  
• To make a referral for yourself please use the below form. You could also give us a call on 01733 530062
  
  
  Name *

  Email

  This can be left blank if you do not have an email address.

  Telephone Number *

  I need help with *

  • PIP Personal Independence Payment
  • Universal Credit
  • Council Tax
  • Housing Benefit
  • Bus Passes
  • Doctors
  • Other (give more details in the message box)

  Message

  Message

  Send