Service application and referral information
On this page you can download and complete the referral and risk forms. These forms should only be completed and sent off to in touch with the applicant's knowledge and consent.
Our floating support service welcomes self referrals, or referrals from concerned family or friends, if you want more information please do not hesitate to contact us on 01245 292900, or click here to complete a contact web form and we'll come back to you.
Referral Form
Click here to download the referral form in PDF format
(for which you'll need to have adobe reader - click here to download it for free).
You should use this form if you want to print the form out and return it by post.
To return the form by post, send it to: in touch, Suite 1, 31 Springfield Road Chelmsford. CM2 6JE.
Click here to download the referral form in word format.
You should use this form if you want to download it and return by e-mail.
To return the form by email, send it to: essexfs.team@intouchsupport.co.uk.
Click here to download full details on the referral procedure.
If you have any questions about the referral and risk forms then you can contact the service by calling 01245 292900 or fax us on 01245 251682.