What happens next?

We may need to call you for more information once we process the form. We will then carry out an assessment of the individual’s needs. These could be support or services that will help the individual to live independently.

In order to complete the form, you will need to set up a mygovscot myaccount in the name of the individual being referred, if one does not already exist.

For other social work services, contact your local social work office.

Do you know someone who is being harmed?

If you think you know someone who is being harmed, or is at risk of being harmed, you must tell someone. Remember, the person being harmed may not be able to report it.

You can contact your local social work services, health professionals or the police. They will take your concerns seriously and work to make sure everyone is safe.

How we will use your information

We use the information you give us to understand your health and social care needs and to find out how best to meet them. We may share relevant information about you with organisations involved in meeting your health or social care needs. We may also share your information with organisations that will be able to give advice, or information that can help you. We will not share your personal information with anyone else without your permission.

All of our data processing complies with the requirements of the Data Protection Act 2018 and UK GDPR.

For more detail about how we process your personal information, please see our privacy notice.

Using a shared or public device (computer or mobile device)

If you are using a public device, such as a library device, or a shared computer, please keep your account safe by ensuring you sign out of your account and shut down your browser when you have finished submitting the form.

You need an online account to make this request. If you are not logged in you will be automatically redirected to the login screen.