For professionals

Make a Referral

We accept referrals from ICB continuing healthcare teams, hospital discharge coordinators, social workers, GPs, case managers and brokerage teams. Being nurse-led means we can take on complex packages, including urgent and same day discharge.

About you

Your name(required)

Organisation(required)

For example the ICB, the trust, or the local authority

Your role(required)

Your phone number(required)

Your email address(required)

About the person being referred

Please do not enter the person's full name or NHS number on this form. Initials or your own reference are enough to open the conversation, and we will agree a secure route for the full assessment or discharge summary when we acknowledge the referral.

Client initials or your reference(required)

Client postcode(required)

So we can check it is within our operating area

Funding route(required)

How urgent is this?(required)

Start date required(optional)

A date, or a description such as on discharge

Summary of care needs(required)

Hours or visits needed, mobility, personal care, medication, risks and anything else that shapes the package.

Clinical needs(optional)

Catheter, stoma, wounds, feeding, respiratory or neurological needs. This helps us route the referral to the right nurse.

I confirm I have a lawful basis to share this information with Karis Care Services for the purpose of arranging care, and that the information above has been kept to the minimum necessary.

For a same day discharge, please call as well as submitting this form

01420 551309. Our office is staffed 24 hours a day, every day.