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Guardian Light Foundation – Support Referral Form

Guardian Light Foundation – Support Referral Form

This form is for professionals referring individuals or families who are homeless, at risk of homelessness, or in crisis.


Referrer Information

(To be completed by Council / GP / Social Worker / Partner Organisation)

Preferred Contact Method (Email / Phone)

Client Details

Birthday
Day
Month
Year
Gender

Reason for Referral

What is the main reason for referring this client? (Select all that apply)

Support Requested

Type of Support Requested:
Has the client received our services before?
Is the client currently receiving support from another agency?
Where did you hear about us?

Consent & Declaration

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Date
Day
Month
Year

Supporting Evidence

(Optional but helps speed up review)

Upload or attach any relevant evidence:

  • Eviction letter or housing letter

  • Letter of support from a local authority

  • GP or social worker statement

  • Safeguarding or risk assessment

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