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Person-centred care & support • Nottinghamshire

Discuss a supported living referral

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

HomeDiscuss a supported living referral
Discuss a supported living referral — Lyriq Healthcare

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.

A clear, confidential first step

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.

1. Referral source and agency information

2. Client information

3. Reason for referral and support needs

Primary support needs

4. Medical and health information

5. Risk assessment

Identified risks (select any that apply)

6. Preferences and personal goals

7. Additional information and declaration

For staff use only: received by, assessment date and outcome are entered by authorised staff in the Supported Living Referrals dashboard, not by the referrer.

Our next steps

01

Request received

We securely log the enquiry and route it to the supported living team.

02

Initial conversation

A member of the team contacts the referrer to discuss property, timing and general suitability.

03

Secure assessment pathway

If appropriate, we agree an authorised method to share the information needed for a proper assessment.