You will need to register or sign in (if already registered) to progress further with this page/form.
Once logged in additional questions will be displayed, ie:
Details of person completing this form – these questions also relate to the Referrer
Further Details – these questions relate to the service user and referrer
You are completing this section of the form on behalf of the service user, so unless you are the service user, you should select ‘Someone else' or ‘Someone else in a professional capacity.'
The questions which follow relate to the Name, Date of Birth, Gender, Ethnicity and Address Details of the service user. The system requires a date of birth for the service user to be added. If you do not know the Adult's date of birth select estimate DOB and add in 01/01/1900.
Saving your form to complete later
Once your form has been saved but NOT submitted to Knowsley MB Council, you have 7 days to complete and submit this form.