Primary Care Professionals

A page for our partners at NHS funded staff across Bassetlaw, to refer clients to our service.

If you are a client, please email advice@canns.org.uk or call 0300 561 2800 instead.

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Referral Details

If you have a question about a referral, you can email our team: welfare.benefit@canns.org.uk

Your Name

Your Organisation

Your Job Role

Your Email

Client Name

Client Date of Bith

Client Address

Client Contact Number

Client Email

Enquiry Type

Reasons for Referral

Is the client eligible for an SR1?

Yes

SR1 attachment (if available)

Click to upload

Are there any emergencies?

Is there anything we should be aware of about the client (adaptations needed, adviser safety issues etc)?

Free Text

Please note, if you are referring a client for help to complete a form, you must tell them to call and obtain an extension if their deadline is within the next four weeks.

Please note, if you are referring a client for help to complete a form, you must tell them to call and obtain an extension if their deadline is close.

I understand.

Primary Care Professionals

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