Make a Referral

One form. One phone call. We aim to respond within 24 hours.

Prefer to speak directly?

Our referrals team is available Monday to Friday, 8am to 6pm. Emergency referrals accepted 24/7.

Call 01737 822221 Email info@complexneeds.com

Referral Form

Complete the form below and our placements team will contact you within 24 hours. For emergency admissions, please call us directly. All information is treated in accordance with our privacy policy.

Your Details (Referrer)

Your Name *

Organisation *

Your Role *

Phone Number *

Email Address *

Patient Details

Patient Name *

Primary Condition *

Urgency *

Funding Status

If funding is not yet confirmed, we can still begin the assessment process.

Brief Clinical Summary *

Our Response Commitment

All referrals acknowledged within 24 hours
Emergency referrals assessed same day where possible
Pre-admission assessment arranged at patient's current location
Clear, honest feedback on suitability within 48 hours of assessment
Dedicated placements coordinator assigned to every referral

What Helps Us Assess Quickly

If you have the following available, please send them to info@complexneeds.com alongside your referral:

Current nursing assessment or care plan
Decision Support Tool (DST) if CHC funded
Recent medical history and discharge summary
MUST assessment or Waterlow score
Behavioural risk assessment (if applicable)
Equipment requirements list

Need an Urgent Placement?

Call our placements team directly. We can often assess within 24 hours and admit within 48.

Call 01737 822221 Email Us →