Physical Disability Advocacy Referral

We provide free and confidential Independent Advocacy to adults aged 18 to 65 years of age who live in Birmingham and are registered with a GP surgery within the Birmingham and Solihull CCG. We support people who have a Physical Disability, Sensory Impairment and/or have experienced a Stroke or Brain Injury. We can provide support to individuals who are facing an issue or crisis situation in their life and who need independent support to address this.

Physical Disability advocacy can help with situations that are compromising an individual’s health and wellbeing. We can support you when you feel no-one is listening to you, when you feel you have been treated unfairly and in times when you feel your health is being affected by issues in your life. We can also support in End of Life situations.

Independent Advocacy can help you to access information, be involved in decisions about your own life, explore choices and options, defend and promote your rights and interests and support you to speak up about issues that are important to you.

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Referrer Details

About the Person Being Referred

Has this individual had advocacy before?

Details of the Person Being Referred

Risk Information

Please indicate any known risks to the advocacy worker.
Known risks - please select all that apply
Does the person require a 2-person visit?

Reason for Referral

Please provide concise, factual and specific details.

Declaration

Declaration(Required)
In order to provide independent advocacy support, Advocacy Matters has asked you to provide some personal data. Advocacy Matters will store and process this information in line with our Privacy Notice and GDPR. We will only process personal data for the purposes of independent advocacy support, will keep it secure, and will only hold it for as long as necessary. You have the right to withdraw consent at any time.