Registration or referral? 

Registration only – You wish to register with NEWCIS but do not require contact from us at this time. You will be able to contact us at any time if you require support or wish to access our service at a later date. You will be kept up to date with the latest news via our quarterly newsletter.

Self referral – You wish to register with NEWCIS and also require contact from us at this time. 

External referral – You are making a referral on behalf of a carer. Please ensure you have permission before submitting the referral. Once submitted, the referral will be allocated to a Wellbeing Officer and contacted in due course. Please complete as much information as possible including correct up to date contact details. 

Young Carers

Please do not use this form to register or refer a young carer or young adult carer. Go to www.newcis.org.uk/young-carers