If you have been unable to complete this form please email your referral directly to leedsadults@leeds.gov.uk

The Adult Social Care referral form is currently unavailable

In the meantime if you would like to make a referral please get in touch on 0113 222 4401 or email our team at leedsadults@leeds.gov.uk.

Our working hours are Monday to Thursday, 9am until 5pm and Friday from 9am until 4:30pm except for Bank Holidays.

We apologise for any inconvenience, please try again later.