How to refer into the Parish Nurse Service

For more information, please see the Parish Nurse Service Leaflet

For a client to be accepted by the Parish Nursing Service, a referral form must be completed using the referral forms below.

Self-referrals 

Please download and complete the self-referral form 

Alternatively, you can phone the Parish Nurse on 07364 219486 Or email parishnurse@smcn.uk who will be happy to complete the form on your behalf.

If  you need any help or support to make the referral you are welcome to come and speak to a volunteer at The Branch weekdays between 9am and 3pm who have referral forms they will be able to complete with you and share with the Parish Nurse.

Referrals from family and friends

Family and friends can refer someone with their full consent. Please download and complete the Family and Friends referral form.

Professional Referrals

Professionals are welcome to refer individuals with consent. Please share the Parish Nurse leaflet and download and complete the Professional Referral Form.

Confidentiality

Your privacy is very important to us.

Anything you share with the Parish Nurse will be kept confidential and will not be shared without your permission, unless there is a risk of harm to you or others.

Although the service is based at St Mary’s Church, your information is kept securely within the Parish Nurse Service and handled in line with GDPR and all relevant regulations.

Your details will never be added to church mailing lists or used for other purposes without your consent.

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