Make a referral

For social workers, commissioners, placement officers and transitions teams. Families should use the family enquiry form instead.

Make a Referral Call 07904 385455

Speak to the Corby office

You get the people who run the service, not a call centre. Ask for a registered manager.

Call 07904 385455 Email the office

Giant Healthcare Corby, Office 18, Corby Business Centre, Eismann Way, Corby, NN17 5ZB. Registered with the Care Quality Commission for personal care only, not nursing or clinical treatment. Location ID 1-5832866722. View our CQC profile.

Referral form

For social workers, commissioners, placement officers and transitions teams. If the placement is urgent, ring 07904 385455 rather than sending this form, because a phone call moves faster.

Same working day responseA registered manager reads it, not an inbox.
Stored securelySeen only by the registered managers assessing it, never by a wider list.

Prefer email? Send the same detail to referrals@gianthealthcarecorby.co.uk

About you

Your name

Job title

Organisation

Local authority

Telephone

The placement

Service required

Placement type

Required start date

The young person

First name or initialsInitials are enough at this stage.

Age

Gender (optional)

Legal status

Summary of needs

Risks and behaviours we should know aboutIncluding anything that would affect other people in a shared setting.

Current placement and reason for the move (optional)

Education arrangement (optional)School, college, tuition or none at present.

Funding and paperwork

Funding authority

Funding route (optional)Framework, spot purchase or other.

I can send a full referral pack on request.

I confirm I am authorised to share this information for the purpose of arranging a placement, and that it may be stored and shared with the registered managers assessing this referral.

This form carries personal data about a child. It is stored securely, seen only by the registered managers assessing the referral and retained no longer than necessary. See our privacy policy.