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  • Home
  • Get Help
    • Video Consultation
    • Email Advice
    • Telephone Advice
    • Online Advice
    • Advice on Prescription
    • Outreach Locations
    • Help to Claim
    • Help for people with cancer
    • Digital Skills Service
    • Homelessness Prevention
    • Help for Paradigm Housing tenants
    • MS Society – Referral Service
    • Employment Support
  • Get Involved
    • Support Us
    • Volunteers
    • Working with Us
  • Research & Campaigns
  • About Us
    • Latest Newsletter
    • Newsletter Archive
    • Our Partners
    • Annual Reports
  • Contact Us
    • Community Languages
    • Complaints
    • Referral Service
    • Commsave Credit Union – Referral Service
    • Care Tech Foundation – Referral Service
  • Donate now

    Home > Macmillan referral form

  • Macmillan referral form

    If you would like to make a self-referral or if you are professional and would like to refer someone to our service then please complete the form below.

    For self-referrals we will contact you within 3 working days.

    If you have made a professional referral we will contact the patient directly within 3 working days.

    Please Confirm you have permission to refer your client to Citizens Advice Milton Keynes *
    Is this a professional or self referral? *
    *Please provide some contact details or telephone number in the event that we are unable to contact your client.

    Subject of Referral

    Can we leave a message on this number?
    Address
    Address
    City
    County
    Postcode
    Which hospital are you receiving treatment at? *
    Which hospital is the client receiving treatment at? *
    Which of the following best describes the main issue/s involving the person you are referring to us - please select as appropriate : *
    Which of the following best describes your issue- please select as appropriate: *
    0 of 150 max words
    0 of 150 max words

    Remember to include any urgent deadlines, times that the client might be unavailable for us to call back and any other relevant information.

    Sending

    • We are Citizens Advice, we are the people’s champion

      We are a charity working for the whole of society, supported by volunteers who are at the heart of the community, here for you when you need us, helping to build a fairer society for everyone.

    • https://www.youtube.com/watch?v=cQxKXK7te44

    • Confident to Work – After Cancer

      We’re doing some research into people’s experiences of returning to work or looking for a job after cancer treatment.

      Take our quick , confidential survey and help us improve our services for cancer survivors.

      Read More

    • Research & Campaigns

      We aim to make life fairer for the people of Milton Keynes by actively campaigning against unfair policies of government, service providers and other bodies.

      Find out what we've been up to and tell us about your experiences.

      Read More
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Registered office: Acorn House, 361 Midsummer Boulevard, Milton Keynes, MK9 3HP | Registered company number: 2265182
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