Club Member Referral Form

Club Member Referral

  • Hand in Hand accept referrals from Socially Isolated people or those at risk of becoming Socially Isolated aged 65 years and over.

  • / / Pick a date.
  • Hand in Hand holds details of relatives/friends and GP's of members who we can contact if we need to. (If not available at time of referral, these details can be obtained from members once they have joined the Club)

  • Hand in Hand holds details of relatives/friends and GP's of members who we can contact if we need to. (If not available at time of referral, these details can be obtained from members once they have joined the Club)

  • Referrer

  • Risk Assessment
    A Risk Assessment will be carried out on each member joining our clubs, to help ensure their safety when attending the club. However, because each individuals health can change, Hand in Hand may not become aware of these changes and it will be the responsibility of the member or their carer/s to inform the club of any changes in their needs or health as appropriate, allowing us to amend their Risk Assessment.