Discuss a supported living referral
For families, professionals and commissioners exploring supported living, including Azariah House in Mansfield.

A clear, confidential first step
Tell us who you are and which property or area you are asking about. This detailed form follows the sections of the original Lyriq Supported Living Referral Form. It is not an offer of accommodation. Sensitive submissions are disabled until data-protection safeguards have been approved.
The detailed form requests client information and support needs, so it must not be submitted unless Lyriq has enabled its assessed secure intake procedure. If it is unavailable, contact our team for an appropriate referral route.

Supported Living Referral Form
Once submitted, your request is handled privately in the Lyriq Staff Portal under Supported Living Referrals. A care coordinator can assign, review and follow up the enquiry.
Supported Living Referral Form
This is Lyriq Healthcare’s detailed WordPress-native referral form, based on the sections of its published referral PDF. Fields include sensitive personal information. Please use this form only where you are authorised to share the information and Lyriq has approved the secure intake procedure.
Our next steps
Request received
We securely log the enquiry and route it to the supported living team.
Initial conversation
A member of the team contacts the referrer to discuss property, timing and general suitability.
Secure assessment pathway
If appropriate, we agree an authorised method to share the information needed for a proper assessment.
