Initial Accommodation Enquiry

Complete this short form and a member of the ReferralPath team will contact you to discuss the accommodation and support requirements. This is an initial enquiry and not a complete risk assessment or guaranteed placement.

ReferralPath is an independent referral and placement-coordination service. We do not provide accommodation or support directly, guarantee a placement, or make the receiving provider's final assessment decision. Submitting this form does not guarantee accommodation.

Your contact information

Tell us who you are so we can contact you about this enquiry.

I am making this enquiry for myselfSelect this if you are looking for accommodation for yourself, rather than referring somebody on behalf of an organisation.

Your full name *

Job title or team (optional)

Organisation *

Email address *

Telephone number *

Preferred contact method *

Contact me (the referrer) first before approaching the person who needs accommodation.

The person who needs accommodation

Just enough for an initial enquiry. We will discuss further details during a follow-up call.

Referred person's first name or initials *

Gender or accommodation requirement (optional)

Current accommodation situation *

Current area or local authority (optional)

Preferred accommodation area *

Required move-in timeframe *

Broad level of support required *

Short summary (optional, maximum 1,000 characters)

Please do not include detailed medical, risk or offence information here. We will discuss any sensitive details privately during the follow-up call.

Are there any urgent risk or safeguarding matters we need to discuss when we call? *

Please do not describe the matter here. We will discuss it privately during the call. If anyone is in immediate danger, call 999.

I confirm that the person requiring accommodation is aged 18 or over. *

ConfirmationsI confirm I have authority to submit this initial information on behalf of the person referred. *The person being referred is aware of this enquiry, where appropriate.I give ReferralPath permission to contact me about this enquiry. (This is permission to contact only — it is not permission to share the person's identifiable information with providers.) *I have read and accept the Privacy Notice. *

Sensitive details are never included in email notifications or public links. Provider-sharing permission is discussed and recorded separately during the follow-up call.

By submitting you acknowledge this is an initial enquiry and does not guarantee accommodation or a placement.