Referral Form

If you are a professional, including VCSE partners, and would like to make a referral on behalf of a person aged 50 years+ to Age UK Gloucestershire, please complete this form:

AUKG Referral Form

Making a Referral

We only accept referrals for people who are:
- over the age of 50 years
- resident in Gloucestershire

Please email your completed form to helpteam@ageukgloucestershire.org.uk

We aim to contact the client within 3-5 working days of receiving the referral. By making a referral, you consent to us processing and storing the contact information.

Our Help Team are able to support & signpost for matters concerning:

Later life transitions	Exploring people's wishes and hopes as they transition in later life, talking them through options, explaining jargon, and outlining key considerations to help access support
Housing matters	Practical support focused on warmth, fire safety, falls risks, mobility, personal alarms, key safes Enabling informed choices about care at home or in a residential setting, wider housing options, including Homeseekers and housing benefit applications.
Transport & mobility	Facilitating Blue Badges and bus passes, and advising on stopping driving and alternative options
Financial sustainability	Ensuring older people are claiming all entitlements and maximizing their income, through supporting Attendance Allowance applications and Benefit Checks, and referrals for energy support and debt
Legal situations	Supporting people to understand the Mental Capacity Act and Mental Capacity Assessments and the importance and processes of a Lasting Power of Attorney and Wills.
Food & nutrition	Advice on accessing balanced diet and shopping with limited mobility
Social isolation	Support engagement with local groups, activities or other services, providing contact details and advise on transport options
Digital support	Resolving digital safety, literacy and access issues
Social care	Advising on entitlements, legal aspects, and personal rights to access social care, including Care Needs and Financial and Benefits Assessment processes.