Refer someone
for support
Use this form to refer someone to No Gaps UK CIC for support.
Please make sure the person you are referring knows about this referral and has agreed to be contacted by us.
You can complete the form in any language using the button at the top right of the page. If they need an interpreter when we contact them, interpreting support can be arranged.
Please do not include detailed medical records, identity or immigration documents, or other highly sensitive information. We will ask for more information if needed.
We handle your
information carefully
We keep your information secure and use it only to support the referral. Please see our Privacy Notice.
We will be in touch
We will review the referral and get back to you within 5 working days.
Need urgent help?
If someone is in immediate danger, please call 999. For non-emergencies call 101. For medical advice call 111.