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Hand of Solace

Elderly Support Service Befriending Referral Form

Before completing and sending in this referral, please ensure that you have read our befriending guideline and eligibility which you can find here:  
Please complete all the fields to avoid any delays in assessing your referral.

(Please note that incomplete forms will be returned to the referrer).

Befriending Objectives:     

What do you hope the Befriending Service involvement will achieve? Please tick the top three that most apply:

We sometimes take photos and/or videos during our activities. Please indicate below your preference for the way in which we can use your photos (if you are a referrer please ensure that you get this information from the proposed service user.

‘Hand of Solace charitable activities are funded by different organisations who support the work we do. To provide evidence of our work to support our service users, Photos/videos can be shared and published and used for service promotion - this means I am happy for photos, videos, storytelling and other visual and audio content of me to be taken/collected, used for promotional/evidence purposes, published in public-facing media and shared within Hand of Solace and with partners and local newspapers’.

Photo/video permissions differ for large scale events (where over 100 participants are present). Consent forms will state clearly if an event is large scale, and will request you to tell befrienders/Befriending coordinator if you do not wish photos/videos of you to be taken at the event.

Risk Assessment:

Your information shall be assessed to meet the requirements for the service. The referral shall be assessed within 14 days and we shall contact you whether or not you do meet the eligibility , if we have any spaces, or if more information is required.


Please Note: Hand of Solace operates an equal opportunities policy therefore every application will be prioritised and assessed following the service assessment criteria which you may find on the service page on our website.

Upload any Risk Asessment
Upload Any Supporting Document

 I have obtained an appropriate consent from the referee to disclose all personal information within this application to Hand of Solace Elderly Befriending Service in accordance with -Hand of Solace Privacy Policy, Principles on Personal Data and Principles of Data Protection, see- 

Your referral has been submitted!

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