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M&D Care
Opening Doors to Positive Futures
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M&D Care
Make a referral
At M&D Care, we often accept referrals for individuals, when all other placements have broken down.
To make a referral, complete the form below.
Please enable JavaScript in your browser to complete this form.
–
Step
1
of 2
Name
*
First
Last
What is your relationship with the referee?
Care Professional
Family/Friend
Self Referral
Occupation
Preferred placement location
Please select
Unknown
Carmarthenshire
Swansea
Neath/Port Talbot
Which service is required?
Residential
Supported Living
Domiciliary
Please provide details of referral
This box is optional
Next
Your phone number
*
Email
*
How would you prefer we contact you?
Email
Phone
Name
Submit
