Self referral formWe want to work with you to help you identify and support carers in your surgery. You can download any of the materials below free of charge and use them in your surgery. If you would like multiple copies to distribute to carers, or if there is any other information that would be useful to you, please let us know.

 

Materials to distribute to carers

Carers self referral form

Carer leaflet and self-referral form
A leaflet for carers, which you can distribute or leave in your waiting room, where carers can find out about the support we offer them, and can refer themselves to us.

pdf Carer leaflet and self-referral form (1.42 MB)
Make a Difference Poster

Noticeboard Poster: Make a Difference
A poster for you to display in your waiting room, explaining our Make a Difference scheme, offering funded breaks for carers.

pdf Noticeboard Poster: Make a Difference (972 KB)
Wating Room Screen

Waiting rooms screen
A powerpoint slide with our key information, which you can display on a screen in your waiting room. If you would prefer this in another format, please let us know.

pdf Waiting Room Screen (151 KB)
Information for practice websites

Information for practice websites
Information about our services for you to upload to your practice website so that carers can find out about our support.

pdf Information for practice websites (71 KB)
Noticeboard poster: Young Carers

Noticeboard poster - Young Carers
A poster for you to display in your waiting room, to encourage young carers to recognise their caring role.

pdf Noticeboard poster: Young Carers (1.07 MB)
Caring with Confidence poster

Caring with Confidence poster
A poster for you to to display in your waiting room, inviting carers to attend one of our group sessions...

pdf Caring with Confidence poster (392 KB)

 

Materials to distribute to surgery staff

SEE HEAR ACT order form

SEE HEAR ACT Order form
Order your copy of the training DVD for health professionals about supporting young carers in healthcare settings.

pdf SEE HEAR ACT DVD Order form (741 KB)
carer id professional referral form

Carers ID and Professional Referral Form
A referral form to Carers in Hertfordshire for GP surgeries.

pdf Carers ID and Professional Referral Form (238 KB)
Carers and Health: GP Surgeries

Carers and health: GP surgeries make all the difference
A simple, concise outline for surgery staff, explaining who carers are, why they need support, the support available and what you can do to help.

pdf Carers and health: GP surgeries make all the difference (153 KB)
Carers in Hertfordshire and GP surgeries: Working together to keep carers healthy

Carers in Hertfordshire and GP surgeries: Working together to keep carers healthy
A leaflet for surgery staff explaining our work and how we can work with you to support carers in your surgery.

pdf Carers in Hertfordshire and GP surgeries: Working together to keep carers healthy (216 KB)
Remember carers stickers

Remember carers stickers
A template for stickers with our website address.

pdf Remember Carers sticker template (371 KB)
Remember Carers Postcard

Carersin Hertfordshire Postcard
A postcard for surgery staff to keep handy, reminding them to support carers and with our key details.

pdf Remember Carers Postcard (153 KB)
Website Carers Welcome Pack

Carers Welcome Pack
A welcome pack for you to personalise for your surgery and give to carers when they register.

pdf Carers Welcome Pack (75 KB)
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