Make a Referral

Referral Receipt

Healthwatch Halton Advocacy HUB will confirm receipt of all IMCA referrals.

If you do not receive a confirmation, please contact us on 0151 347 8183 or advocacy@ecstaffs.co.uk

Self-Help Information Pack

Many people choose to raise their NHS complaint themselves, without the support of an advocate.

You can download our Self-Help Information Pack here.

Independent Mental Capacity Advocacy Referral Form (Word)

NHS Complaints Advocacy Referral Form (PDF)

NHS Complaints Advocacy Referral Form (Word)

Independent Mental Health Advocacy (IMHA) Referral Form (PDF)

Independent Mental Health Advocacy (IMHA) Referral Form (Word)

Care Act Referral Form (PDF)

Care Act Referral Form (Word)

Independent Mental Capacity Advocacy Referral Form (PDF Version)

Independent Mental Capacity Advocacy (IMCA) Referral Form (Word Version)