Professional Referral

Professional Referral

Privacy Notice / Consent

Citizens Advice Rutland collects and holds your personal information. We use this information to:

  • Make decisions about your support and advice needs
  • Help us to work with you and agree the support and advice you need
  • Work effectively with others who may also provide you with support and advice
  • Make sure we manage our services effectively

This includes personal characteristics and sensitive information (special category data) relevant for the services we provide. The information we collect may be stored electronically, on paper or a mixture of both. We will not disclose any information provided ‘in confidence’ to anyone else without permission, except in the few situations where disclosure is required by law, or where we have good reason to believe that failing to share the information would put someone at risk.

We need to obtain your consent to store your information and before doing so please read our privacy statement.

Please ask your client to select one of the options below after reading this privacy statement to give their permission for us to hold their information

Referrer's Personal Details


Client's Personal Details

Communication Needs
How would the client like to be contacted?
Does this client require anybody to be with them at the interview?

Service needs

Please tick all that apply to help us identify the best service(s) to meet your needs
Needs/Risk Assessment


For monitoring purposes please complete all sections. Tick only one box in each section.
Do you consider yourself to have a disability?