Partner Organisation referral form

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Partner Referrals

If you’re a partner organisation within the Armagh, Banbridge & Craigavon area, please contact us about referrals using the form below. Before making a referral please understand you are consenting to share both the Clients and your data with us. To understand how we use your data please read our Referral Privacy Policy below.

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Thank you for contacting us. Please note that we aim to respond to messages within 2 working days.

Organisation Name(required)

First name(required)

Last name(required)

Organisation Phone Number(required)

Your Email(required)

Client Name(required)

Client Phone Number:(required)

Client Postal Address:(required)

Client Postcode:(required)

Client Date of Birth:

Client Email Address:

How can we help? Please provide additional information to support your referral:

Client consent to share their data with Community Advice(required)

Client consent for Community Advice to share a brief overview of their engagement with you, with the referral organisation(required)

Please note that by clicking submit you consent to our Partner Referral Policy below.

Partner Referral Policy

I consent to this referral to Community Advice Armagh, Banbridge and Craigavon for the purpose of directing my inquiry to the most appropriate support by themselves or with one of their registered partner agencies.

We act as a data controller for the purposes of the GDPR regulations 2018. We will manage the information provided on this form in accordance with this Act which has replaced the Data Protection Act (1988).We are only collecting your personal information in order to make that referral possible.

Community Advice Armagh Banbridge Craigavon

t: 0330 135 9733

contact@adviceabc.co.uk

HomeCommunity Advice ABC
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- Partner Referral FormPartner Referral Form
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Community Advice ABC ( Also know as Community Advice Armagh Banbridge & Craigavon Ltd), Company Registered by Guarantee in NI No. 34750, Registered Charity Number: NIC101573, Authorised and regulated by the Financial Conduct Authority: FRN 616953. Reg office: Portadown Health & Care Centre, Tavanagh Avenue, Portadown BT62 3BU

Armagh City Banbridge & Craigavon Borough Council

Macmillan Benefits Service Northern Ireland