For Commissioners and Referrers

Make a Referral

Please provide as much information as possible so we can assess suitability, risk, support needs, and current accommodation availability.

Referral response target within 48 hours

Referral Form

Please complete the required fields marked with *.

Referrer Details

Referrer Name *

Referrer Role *

Organisation *

Phone Number *

Email Address *

Placement Details

Individual Full Name *

Age *

Current Accommodation Situation *

Reason for Referral *

Current Risks and Safeguarding Concerns *

Support Needs *

Mental Health or Substance Misuse Concerns

Criminal Justice Involvement

Urgency of Placement *

Local Connection Information *

Agency Involvement (social care, probation, housing, support services) *

Any Other Relevant Information

I confirm that I have authority to submit this referral and that consent has been obtained to share this information with Civitas Living Hub for placement assessment and support planning in line with UK GDPR.

Civitas Living Hub is not an emergency service. If someone is at immediate risk, please call 999. For urgent safeguarding concerns, please contact the relevant local authority safeguarding team.

Before You Make a Referral

Referrer name, role, organisation, and contact details
Individual full name and age
Current accommodation situation
Reason for referral
Current risks and safeguarding concerns
Support needs
Mental health or substance misuse concerns, where relevant
Criminal justice involvement, where relevant
Urgency of placement
Local connection information
Involvement from social care, probation, housing, or support services
Consent confirmation

Need Help?

020 3343 0972 info@civitaslivinghub.co.uk

Downloads

Access referral and commissioner resources in our downloads section.

View Downloads

Civitas Living Hub is not an emergency service. If someone is at immediate risk, call 999.

Need commissioner information first?

Review our commissioner information page for support model, compliance and outcomes.

Information for Commissioners