{"id":1305,"date":"2026-09-11T08:31:58","date_gmt":"2026-09-11T08:31:58","guid":{"rendered":"https:\/\/www.hzelectrical.co.za\/Norvia\/?page_id=1305"},"modified":"2026-09-11T11:35:40","modified_gmt":"2026-09-11T11:35:40","slug":"referrals","status":"publish","type":"page","link":"https:\/\/www.hzelectrical.co.za\/Norvia\/referrals\/","title":{"rendered":"Referrals"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; custom_padding_last_edited=&#8221;on|phone&#8221; _builder_version=&#8221;4.27.7&#8243; _module_preset=&#8221;default&#8221; background_enable_color=&#8221;off&#8221; use_background_color_gradient=&#8221;on&#8221; background_color_gradient_direction=&#8221;90deg&#8221; background_color_gradient_stops=&#8221;rgba(13,47,92,0.89) 0%|rgba(1,68,163,0.87) 59%|rgba(12,113,195,0) 100%&#8221; background_color_gradient_overlays_image=&#8221;on&#8221; background_image=&#8221;https:\/\/www.hzelectrical.co.za\/Norvia\/wp-content\/uploads\/2026\/04\/Domiciliary-care-Leeds-Banner.webp&#8221; custom_padding=&#8221;70px||70px||true|false&#8221; custom_padding_tablet=&#8221;40px||40px||true|false&#8221; custom_padding_phone=&#8221;30px||30px||true|false&#8221; bottom_divider_style=&#8221;curve2&#8243; bottom_divider_color=&#8221;gcid-8237ef3f-badf-4adb-89b6-2d42a0872202&#8243; bottom_divider_height=&#8221;36px&#8221; bottom_divider_repeat=&#8221;1x&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{%22gcid-8237ef3f-badf-4adb-89b6-2d42a0872202%22:%91%22bottom_divider_color%22%93}&#8221;][et_pb_row column_structure=&#8221;2_3,1_3&#8243; _builder_version=&#8221;4.27.8&#8243; _module_preset=&#8221;default&#8221; width=&#8221;90%&#8221; max_width=&#8221;1580px&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;2_3&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.8&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;||||||||&#8221; text_text_color=&#8221;#FFFFFF&#8221; header_font=&#8221;&#8211;et_global_heading_font|600|||||||&#8221; header_text_color=&#8221;#FFFFFF&#8221; header_font_size=&#8221;50px&#8221; header_2_font=&#8221;|800|||||||&#8221; header_2_text_color=&#8221;#FFFFFF&#8221; header_2_font_size=&#8221;50px&#8221; header_2_letter_spacing=&#8221;1px&#8221; width=&#8221;100%&#8221; hover_enabled=&#8221;0&#8243; header_font_size_tablet=&#8221;5vw&#8221; header_font_size_phone=&#8221;6vw&#8221; header_font_size_last_edited=&#8221;on|phone&#8221; header_2_font_size_tablet=&#8221;5vw&#8221; header_2_font_size_phone=&#8221;7vw&#8221; header_2_font_size_last_edited=&#8221;on|phone&#8221; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<h1>Referrals for Care in Walsall &amp; the West Midlands<\/h1>\n<p>Refer an individual for domiciliary care or supported living across Walsall and the West Midlands. Referrals are reviewed promptly by our Walsall-based team, who will come back to you to confirm next steps.[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; custom_padding_last_edited=&#8221;on|phone&#8221; _builder_version=&#8221;4.27.7&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;gcid-8237ef3f-badf-4adb-89b6-2d42a0872202&#8243; custom_padding=&#8221;50px||50px||true|false&#8221; custom_padding_tablet=&#8221;40px||40px||true|false&#8221; custom_padding_phone=&#8221;30px||30px||true|false&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{%22gcid-8237ef3f-badf-4adb-89b6-2d42a0872202%22:%91%22background_color%22%93}&#8221;][et_pb_row column_structure=&#8221;1_4,1_4,1_4,1_4&#8243; use_custom_gutter=&#8221;on&#8221; make_equal=&#8221;on&#8221; _builder_version=&#8221;4.27.7&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;#FFFFFF&#8221; width=&#8221;90%&#8221; max_width=&#8221;1580px&#8221; custom_padding=&#8221;20px|20px|20px|20px|true|true&#8221; border_radii=&#8221;on|20px|20px|20px|20px&#8221; border_width_all=&#8221;1px&#8221; border_color_all=&#8221;gcid-secondary-color&#8221; global_colors_info=&#8221;{%22gcid-secondary-color%22:%91%22border_color_all%22%93}&#8221;][et_pb_column type=&#8221;1_4&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.8&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;&#8211;et_global_body_font||||||||&#8221; text_text_color=&#8221;gcid-69409459-10fb-4c25-ad28-390b52007d24&#8243; text_line_height=&#8221;1.3em&#8221; header_3_font=&#8221;Quicksand|||on|||||&#8221; header_3_text_color=&#8221;gcid-secondary-color&#8221; header_3_font_size=&#8221;14px&#8221; header_3_line_height=&#8221;0.8em&#8221; custom_margin=&#8221;||||false|false&#8221; custom_padding=&#8221;0px||0px||false|false&#8221; hover_enabled=&#8221;0&#8243; text_font_size_tablet=&#8221;2vw&#8221; text_font_size_phone=&#8221;3.6vw&#8221; text_font_size_last_edited=&#8221;on|phone&#8221; text_line_height_tablet=&#8221;1.5em&#8221; text_line_height_phone=&#8221;1.4em&#8221; text_line_height_last_edited=&#8221;on|phone&#8221; global_colors_info=&#8221;{%22gcid-69409459-10fb-4c25-ad28-390b52007d24%22:%91%22text_text_color%22%93,%22gcid-secondary-color%22:%91%22header_3_text_color%22%93}&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<h3><strong>Who can refer?<\/strong><\/h3>\n<p>Professionals, organisations, family members and authorised representatives.[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_4&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.8&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;&#8211;et_global_body_font||||||||&#8221; text_text_color=&#8221;gcid-69409459-10fb-4c25-ad28-390b52007d24&#8243; text_line_height=&#8221;1.3em&#8221; header_3_font=&#8221;Quicksand|||on|||||&#8221; header_3_text_color=&#8221;gcid-secondary-color&#8221; header_3_font_size=&#8221;14px&#8221; header_3_line_height=&#8221;0.8em&#8221; custom_margin=&#8221;||||false|false&#8221; custom_padding=&#8221;0px||0px||false|false&#8221; hover_enabled=&#8221;0&#8243; text_font_size_tablet=&#8221;2vw&#8221; text_font_size_phone=&#8221;3.6vw&#8221; text_font_size_last_edited=&#8221;on|phone&#8221; text_line_height_tablet=&#8221;1.5em&#8221; text_line_height_phone=&#8221;1.4em&#8221; text_line_height_last_edited=&#8221;on|phone&#8221; global_colors_info=&#8221;{%22gcid-69409459-10fb-4c25-ad28-390b52007d24%22:%91%22text_text_color%22%93,%22gcid-secondary-color%22:%91%22header_3_text_color%22%93}&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<h3><strong>Referral types<\/strong><\/h3>\n<p>Domiciliary Care and Supported Living.[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_4&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.8&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;&#8211;et_global_body_font||||||||&#8221; text_text_color=&#8221;gcid-69409459-10fb-4c25-ad28-390b52007d24&#8243; text_line_height=&#8221;1.3em&#8221; header_3_font=&#8221;Quicksand|||on|||||&#8221; header_3_text_color=&#8221;gcid-secondary-color&#8221; header_3_font_size=&#8221;14px&#8221; header_3_line_height=&#8221;0.8em&#8221; custom_margin=&#8221;||||false|false&#8221; custom_padding=&#8221;0px||0px||false|false&#8221; hover_enabled=&#8221;0&#8243; text_font_size_tablet=&#8221;2vw&#8221; text_font_size_phone=&#8221;3.6vw&#8221; text_font_size_last_edited=&#8221;on|phone&#8221; text_line_height_tablet=&#8221;1.5em&#8221; text_line_height_phone=&#8221;1.4em&#8221; text_line_height_last_edited=&#8221;on|phone&#8221; global_colors_info=&#8221;{%22gcid-69409459-10fb-4c25-ad28-390b52007d24%22:%91%22text_text_color%22%93,%22gcid-secondary-color%22:%91%22header_3_text_color%22%93}&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<h3><strong>Response<\/strong><\/h3>\n<p>Referrals are reviewed promptly by our Walsall-based team.[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_4&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.8&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;&#8211;et_global_body_font||||||||&#8221; text_text_color=&#8221;gcid-69409459-10fb-4c25-ad28-390b52007d24&#8243; text_line_height=&#8221;1.3em&#8221; header_3_font=&#8221;Quicksand|||on|||||&#8221; header_3_text_color=&#8221;gcid-secondary-color&#8221; header_3_font_size=&#8221;14px&#8221; header_3_line_height=&#8221;0.8em&#8221; custom_margin=&#8221;||||false|false&#8221; custom_padding=&#8221;0px||0px||false|false&#8221; hover_enabled=&#8221;0&#8243; text_font_size_tablet=&#8221;2vw&#8221; text_font_size_phone=&#8221;3.6vw&#8221; text_font_size_last_edited=&#8221;on|phone&#8221; text_line_height_tablet=&#8221;1.5em&#8221; text_line_height_phone=&#8221;1.4em&#8221; text_line_height_last_edited=&#8221;on|phone&#8221; global_colors_info=&#8221;{%22gcid-69409459-10fb-4c25-ad28-390b52007d24%22:%91%22text_text_color%22%93,%22gcid-secondary-color%22:%91%22header_3_text_color%22%93}&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<h3><strong>Need advice?<\/strong><\/h3>\n<p>Contact us before submitting if you&#8217;re unsure.[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;gcid-8277d4aa-406b-4369-bf1c-55c9deb55f60&#8243; custom_padding=&#8221;70px||70px||true|false&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{%22gcid-8277d4aa-406b-4369-bf1c-55c9deb55f60%22:%91%22background_color%22%93}&#8221;][et_pb_row use_custom_gutter=&#8221;on&#8221; make_equal=&#8221;on&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; width=&#8221;90%&#8221; max_width=&#8221;1580px&#8221; custom_padding=&#8221;6px||0px|||&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_heading title=&#8221;The Referral Process&#8221; _builder_version=&#8221;4.27.8&#8243; _module_preset=&#8221;default&#8221; title_level=&#8221;h2&#8243; title_font=&#8221;&#8211;et_global_heading_font|600|||||||&#8221; title_text_color=&#8221;gcid-primary-color&#8221; title_font_size=&#8221;36px&#8221; hover_enabled=&#8221;0&#8243; title_font_size_tablet=&#8221;4vw&#8221; title_font_size_phone=&#8221;5vw&#8221; title_font_size_last_edited=&#8221;on|phone&#8221; global_colors_info=&#8221;{%22gcid-primary-color%22:%91%22title_text_color%22,%22title_text_color%22%93,%22gcid-69409459-10fb-4c25-ad28-390b52007d24%22:%91%22title_text_color%22%93}&#8221; sticky_enabled=&#8221;0&#8243;][\/et_pb_heading][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=&#8221;1_3,1_3,1_3&#8243; use_custom_gutter=&#8221;on&#8221; make_equal=&#8221;on&#8221; _builder_version=&#8221;4.27.8&#8243; _module_preset=&#8221;default&#8221; width=&#8221;90%&#8221; max_width=&#8221;1580px&#8221; custom_padding=&#8221;6px||0px|||&#8221; custom_css_main_element=&#8221;align-items:center;&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;1_3&#8243; _builder_version=&#8221;4.27.8&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_image src=&#8221;https:\/\/www.hzelectrical.co.za\/Norvia\/wp-content\/uploads\/2026\/09\/Companionship-Care-Norvia.webp&#8221; alt=&#8221;A member of ABR Grace Solutions care coordination discussing  Users needs.&#8221; title_text=&#8221;Companionship Care Norvia&#8221; _builder_version=&#8221;4.27.8&#8243; _module_preset=&#8221;default&#8221; hover_enabled=&#8221;0&#8243; border_radii=&#8221;on|15px|15px|15px|15px&#8221; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;][\/et_pb_image][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_blurb title=&#8221;Submit referral&#8221; image=&#8221;https:\/\/www.hzelectrical.co.za\/Norvia\/wp-content\/uploads\/2026\/08\/number-one-icon.png&#8221; icon_placement=&#8221;left&#8221; content_max_width=&#8221;100%&#8221; _builder_version=&#8221;4.27.8&#8243; _module_preset=&#8221;default&#8221; header_font=&#8221;&#8211;et_global_heading_font|500|||||||&#8221; header_text_color=&#8221;gcid-primary-color&#8221; body_text_color=&#8221;gcid-69409459-10fb-4c25-ad28-390b52007d24&#8243; background_color=&#8221;gcid-acff8228-7783-42d9-b9d7-ba2f45bd9ffe&#8221; image_icon_custom_margin=&#8221;10px||||false|false&#8221; custom_padding=&#8221;15px|15px|15px|15px|true|true&#8221; child_filter_hue_rotate=&#8221;137deg&#8221; child_filter_saturate=&#8221;111%&#8221; child_filter_brightness=&#8221;52%&#8221; animation_style=&#8221;slide&#8221; hover_enabled=&#8221;0&#8243; border_radii=&#8221;on|15px|15px|15px|15px&#8221; border_width_all=&#8221;1px&#8221; border_color_all=&#8221;gcid-8237ef3f-badf-4adb-89b6-2d42a0872202&#8243; global_colors_info=&#8221;{%22gcid-primary-color%22:%91%22header_text_color%22%93,%22gcid-69409459-10fb-4c25-ad28-390b52007d24%22:%91%22body_text_color%22%93,%22gcid-secondary-color%22:%91%22icon_color%22%93,%22gcid-8237ef3f-badf-4adb-89b6-2d42a0872202%22:%91%22border_color_all%22%93,%22gcid-acff8228-7783-42d9-b9d7-ba2f45bd9ffe%22:%91%22background_color%22%93}&#8221; sticky_enabled=&#8221;0&#8243;]Complete the referral form with the details you hold.[\/et_pb_blurb][et_pb_blurb title=&#8221;Referral review&#8221; image=&#8221;https:\/\/www.hzelectrical.co.za\/Norvia\/wp-content\/uploads\/2026\/08\/number-two-icon.png&#8221; icon_placement=&#8221;left&#8221; content_max_width=&#8221;100%&#8221; _builder_version=&#8221;4.27.8&#8243; _module_preset=&#8221;default&#8221; header_font=&#8221;&#8211;et_global_heading_font|500|||||||&#8221; header_text_color=&#8221;gcid-primary-color&#8221; body_text_color=&#8221;gcid-69409459-10fb-4c25-ad28-390b52007d24&#8243; background_color=&#8221;gcid-acff8228-7783-42d9-b9d7-ba2f45bd9ffe&#8221; image_icon_custom_margin=&#8221;10px||||false|false&#8221; custom_padding=&#8221;15px|15px|15px|15px|true|true&#8221; child_filter_hue_rotate=&#8221;137deg&#8221; child_filter_saturate=&#8221;111%&#8221; child_filter_brightness=&#8221;52%&#8221; animation_style=&#8221;slide&#8221; hover_enabled=&#8221;0&#8243; border_radii=&#8221;on|15px|15px|15px|15px&#8221; border_width_all=&#8221;1px&#8221; border_color_all=&#8221;gcid-8237ef3f-badf-4adb-89b6-2d42a0872202&#8243; global_colors_info=&#8221;{%22gcid-primary-color%22:%91%22header_text_color%22,%22header_text_color%22,%22header_text_color%22,%22header_text_color%22%93,%22gcid-69409459-10fb-4c25-ad28-390b52007d24%22:%91%22body_text_color%22,%22body_text_color%22%93,%22gcid-secondary-color%22:%91%22icon_color%22,%22icon_color%22%93,%22gcid-8237ef3f-badf-4adb-89b6-2d42a0872202%22:%91%22border_color_all%22%93,%22gcid-acff8228-7783-42d9-b9d7-ba2f45bd9ffe%22:%91%22background_color%22%93}&#8221; sticky_enabled=&#8221;0&#8243;]Our team reviews capacity, needs and suitability.[\/et_pb_blurb][et_pb_blurb title=&#8221;Contact with referrer&#8221; image=&#8221;https:\/\/www.hzelectrical.co.za\/Norvia\/wp-content\/uploads\/2026\/08\/number-three-icon.png&#8221; icon_placement=&#8221;left&#8221; content_max_width=&#8221;100%&#8221; _builder_version=&#8221;4.27.8&#8243; _module_preset=&#8221;default&#8221; header_font=&#8221;&#8211;et_global_heading_font|500|||||||&#8221; header_text_color=&#8221;gcid-primary-color&#8221; body_text_color=&#8221;gcid-69409459-10fb-4c25-ad28-390b52007d24&#8243; background_color=&#8221;gcid-acff8228-7783-42d9-b9d7-ba2f45bd9ffe&#8221; image_icon_custom_margin=&#8221;10px||||false|false&#8221; custom_padding=&#8221;15px|15px|15px|15px|true|true&#8221; child_filter_hue_rotate=&#8221;137deg&#8221; child_filter_saturate=&#8221;111%&#8221; child_filter_brightness=&#8221;52%&#8221; animation_style=&#8221;slide&#8221; hover_enabled=&#8221;0&#8243; border_radii=&#8221;on|15px|15px|15px|15px&#8221; border_width_all=&#8221;1px&#8221; border_color_all=&#8221;gcid-8237ef3f-badf-4adb-89b6-2d42a0872202&#8243; global_colors_info=&#8221;{%22gcid-primary-color%22:%91%22header_text_color%22,%22header_text_color%22,%22header_text_color%22,%22header_text_color%22%93,%22gcid-69409459-10fb-4c25-ad28-390b52007d24%22:%91%22body_text_color%22,%22body_text_color%22%93,%22gcid-secondary-color%22:%91%22icon_color%22,%22icon_color%22%93,%22gcid-8237ef3f-badf-4adb-89b6-2d42a0872202%22:%91%22border_color_all%22%93,%22gcid-acff8228-7783-42d9-b9d7-ba2f45bd9ffe%22:%91%22background_color%22%93}&#8221; sticky_enabled=&#8221;0&#8243;]We come back to you to confirm and clarify.[\/et_pb_blurb][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_blurb title=&#8221;Assessment&#8221; image=&#8221;https:\/\/www.hzelectrical.co.za\/Norvia\/wp-content\/uploads\/2026\/08\/number-four-icon.png&#8221; icon_placement=&#8221;left&#8221; content_max_width=&#8221;100%&#8221; _builder_version=&#8221;4.27.8&#8243; _module_preset=&#8221;default&#8221; header_font=&#8221;&#8211;et_global_heading_font|500|||||||&#8221; header_text_color=&#8221;gcid-primary-color&#8221; body_text_color=&#8221;gcid-69409459-10fb-4c25-ad28-390b52007d24&#8243; background_color=&#8221;gcid-acff8228-7783-42d9-b9d7-ba2f45bd9ffe&#8221; image_icon_custom_margin=&#8221;10px||||false|false&#8221; custom_padding=&#8221;15px|15px|15px|15px|true|true&#8221; child_filter_hue_rotate=&#8221;137deg&#8221; child_filter_saturate=&#8221;111%&#8221; child_filter_brightness=&#8221;52%&#8221; animation_style=&#8221;slide&#8221; hover_enabled=&#8221;0&#8243; border_radii=&#8221;on|15px|15px|15px|15px&#8221; border_width_all=&#8221;1px&#8221; border_color_all=&#8221;gcid-8237ef3f-badf-4adb-89b6-2d42a0872202&#8243; global_colors_info=&#8221;{%22gcid-primary-color%22:%91%22header_text_color%22,%22header_text_color%22,%22header_text_color%22,%22header_text_color%22%93,%22gcid-69409459-10fb-4c25-ad28-390b52007d24%22:%91%22body_text_color%22,%22body_text_color%22%93,%22gcid-secondary-color%22:%91%22icon_color%22,%22icon_color%22%93,%22gcid-8237ef3f-badf-4adb-89b6-2d42a0872202%22:%91%22border_color_all%22%93,%22gcid-acff8228-7783-42d9-b9d7-ba2f45bd9ffe%22:%91%22background_color%22%93}&#8221; sticky_enabled=&#8221;0&#8243; title_text=&#8221;number-four-icon&#8221;]<br \/>\nA person-centred assessment is arranged.[\/et_pb_blurb][et_pb_blurb title=&#8221;Support planning&#8221; image=&#8221;https:\/\/www.hzelectrical.co.za\/Norvia\/wp-content\/uploads\/2026\/08\/number-five-icon.png&#8221; icon_placement=&#8221;left&#8221; content_max_width=&#8221;100%&#8221; _builder_version=&#8221;4.27.8&#8243; _module_preset=&#8221;default&#8221; header_font=&#8221;&#8211;et_global_heading_font|500|||||||&#8221; header_text_color=&#8221;gcid-primary-color&#8221; body_text_color=&#8221;gcid-69409459-10fb-4c25-ad28-390b52007d24&#8243; background_color=&#8221;gcid-acff8228-7783-42d9-b9d7-ba2f45bd9ffe&#8221; image_icon_custom_margin=&#8221;10px||||false|false&#8221; custom_padding=&#8221;15px|15px|15px|15px|true|true&#8221; child_filter_hue_rotate=&#8221;137deg&#8221; child_filter_saturate=&#8221;111%&#8221; child_filter_brightness=&#8221;52%&#8221; animation_style=&#8221;slide&#8221; hover_enabled=&#8221;0&#8243; border_radii=&#8221;on|15px|15px|15px|15px&#8221; border_width_all=&#8221;1px&#8221; border_color_all=&#8221;gcid-8237ef3f-badf-4adb-89b6-2d42a0872202&#8243; global_colors_info=&#8221;{%22gcid-primary-color%22:%91%22header_text_color%22,%22header_text_color%22,%22header_text_color%22,%22header_text_color%22%93,%22gcid-69409459-10fb-4c25-ad28-390b52007d24%22:%91%22body_text_color%22,%22body_text_color%22%93,%22gcid-secondary-color%22:%91%22icon_color%22,%22icon_color%22%93,%22gcid-8237ef3f-badf-4adb-89b6-2d42a0872202%22:%91%22border_color_all%22%93,%22gcid-acff8228-7783-42d9-b9d7-ba2f45bd9ffe%22:%91%22background_color%22%93}&#8221; sticky_enabled=&#8221;0&#8243; title_text=&#8221;number-five-icon&#8221;]<br \/>\nWe agree a support plan with everyone involved.[\/et_pb_blurb][et_pb_blurb title=&#8221;Service begins&#8221; image=&#8221;https:\/\/www.hzelectrical.co.za\/Norvia\/wp-content\/uploads\/2026\/08\/number-six-icon.png&#8221; icon_placement=&#8221;left&#8221; content_max_width=&#8221;100%&#8221; _builder_version=&#8221;4.27.8&#8243; _module_preset=&#8221;default&#8221; header_font=&#8221;&#8211;et_global_heading_font|500|||||||&#8221; header_text_color=&#8221;gcid-primary-color&#8221; body_text_color=&#8221;gcid-69409459-10fb-4c25-ad28-390b52007d24&#8243; background_color=&#8221;gcid-acff8228-7783-42d9-b9d7-ba2f45bd9ffe&#8221; image_icon_custom_margin=&#8221;10px||||false|false&#8221; custom_padding=&#8221;15px|15px|15px|15px|true|true&#8221; child_filter_hue_rotate=&#8221;137deg&#8221; child_filter_saturate=&#8221;111%&#8221; child_filter_brightness=&#8221;52%&#8221; animation_style=&#8221;slide&#8221; hover_enabled=&#8221;0&#8243; border_radii=&#8221;on|15px|15px|15px|15px&#8221; border_width_all=&#8221;1px&#8221; border_color_all=&#8221;gcid-8237ef3f-badf-4adb-89b6-2d42a0872202&#8243; global_colors_info=&#8221;{%22gcid-primary-color%22:%91%22header_text_color%22,%22header_text_color%22,%22header_text_color%22,%22header_text_color%22%93,%22gcid-69409459-10fb-4c25-ad28-390b52007d24%22:%91%22body_text_color%22,%22body_text_color%22%93,%22gcid-secondary-color%22:%91%22icon_color%22,%22icon_color%22%93,%22gcid-8237ef3f-badf-4adb-89b6-2d42a0872202%22:%91%22border_color_all%22%93,%22gcid-acff8228-7783-42d9-b9d7-ba2f45bd9ffe%22:%91%22background_color%22%93}&#8221; sticky_enabled=&#8221;0&#8243; title_text=&#8221;number-six-icon&#8221;]<br \/>\nCare starts with a matched, briefed care team.[\/et_pb_blurb][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; custom_padding_last_edited=&#8221;on|phone&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;gcid-8237ef3f-badf-4adb-89b6-2d42a0872202&#8243; background_enable_image=&#8221;off&#8221; custom_padding=&#8221;70px||70px||true|false&#8221; custom_padding_tablet=&#8221;40px||40px||true|false&#8221; custom_padding_phone=&#8221;30px||30px||true|false&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{%22gcid-8237ef3f-badf-4adb-89b6-2d42a0872202%22:%91%22background_color%22%93}&#8221;][et_pb_row use_custom_gutter=&#8221;on&#8221; make_equal=&#8221;on&#8221; _builder_version=&#8221;4.27.8&#8243; _module_preset=&#8221;default&#8221; width=&#8221;90%&#8221; max_width=&#8221;1580px&#8221; custom_padding=&#8221;6px||0px|||&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_heading title=&#8221;Referral Form&#8221; _builder_version=&#8221;4.27.8&#8243; _module_preset=&#8221;default&#8221; title_level=&#8221;h2&#8243; title_font=&#8221;&#8211;et_global_heading_font|600|||||||&#8221; title_text_color=&#8221;gcid-primary-color&#8221; title_font_size=&#8221;36px&#8221; hover_enabled=&#8221;0&#8243; title_font_size_tablet=&#8221;4vw&#8221; title_font_size_phone=&#8221;5vw&#8221; title_font_size_last_edited=&#8221;on|phone&#8221; global_colors_info=&#8221;{%22gcid-primary-color%22:%91%22title_text_color%22%93}&#8221; sticky_enabled=&#8221;0&#8243;][\/et_pb_heading][et_pb_text _builder_version=&#8221;4.27.8&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;||||||||&#8221; text_text_color=&#8221;gcid-69409459-10fb-4c25-ad28-390b52007d24&#8243; text_line_height=&#8221;1.4em&#8221; header_font=&#8221;&#8211;et_global_heading_font|500|||||||&#8221; header_text_color=&#8221;gcid-primary-color&#8221; background_color=&#8221;gcid-acff8228-7783-42d9-b9d7-ba2f45bd9ffe&#8221; custom_padding=&#8221;30px|30px|30px|30px|true|true&#8221; animation_style=&#8221;slide&#8221; hover_enabled=&#8221;0&#8243; text_font_size_tablet=&#8221;2vw&#8221; text_font_size_phone=&#8221;3.6vw&#8221; text_font_size_last_edited=&#8221;on|phone&#8221; text_line_height_tablet=&#8221;1.5em&#8221; text_line_height_phone=&#8221;1.4em&#8221; text_line_height_last_edited=&#8221;on|phone&#8221; border_radii=&#8221;on|15px|15px|15px|15px&#8221; border_width_all=&#8221;1px&#8221; border_color_all=&#8221;gcid-8237ef3f-badf-4adb-89b6-2d42a0872202&#8243; global_colors_info=&#8221;{%22gcid-primary-color%22:%91%22header_text_color%22%93,%22gcid-69409459-10fb-4c25-ad28-390b52007d24%22:%91%22body_text_color%22,%22text_text_color%22%93,%22gcid-secondary-color%22:%91%22icon_color%22%93,%22gcid-8237ef3f-badf-4adb-89b6-2d42a0872202%22:%91%22border_color_all%22%93,%22gcid-acff8228-7783-42d9-b9d7-ba2f45bd9ffe%22:%91%22background_color%22%93}&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<div class=\"forminator-ui forminator-custom-form forminator-custom-form-1322 forminator-design--default  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-1322\" data-uid=\"6accff77bbb3b\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-1322\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-1322 forminator-design--default  forminator_ajax\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"1322\"\n\t\t\t\tenctype=\"multipart\/form-data\" data-color-option=\"default\" data-design=\"default\" data-grid=\"open\" style=\"display: none;\"\n\t\t\t\tdata-uid=\"6accff77bbb3b\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-row\"><div id=\"html-5\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-5\"><h2>\u00a0<\/h2>\n<h2><strong>Referrals Form<\/strong><\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-2\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-1322__field--select-2_6accff77bbb3b\" id=\"forminator-form-1322__field--select-2_6accff77bbb3b-label\" class=\"forminator-label\">How did you hear about Norvia Care Solutions?<\/label><select  id=\"forminator-form-1322__field--select-2_6accff77bbb3b\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"\" name=\"select-2\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"\" data-search=\"false\" data-search-placeholder=\"\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-1322__field--select-2_6accff77bbb3b-label\"><option value=\"Google-search\"  data-calculation=\"0\">Google search<\/option><option value=\"Local-authority\"  data-calculation=\"0\">Local authority<\/option><option value=\"Hospital\"  data-calculation=\"0\">Hospital<\/option><option value=\"GP\"  data-calculation=\"0\">GP<\/option><option value=\"Leaflets\"  data-calculation=\"0\">Leaflets<\/option><option value=\"Social-media\"  data-calculation=\"0\">Social media<\/option><option value=\"Other\"  data-calculation=\"0\">Other<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-1\" class=\"forminator-field-radio forminator-col forminator-col-6 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-1-6accff77bbb3b-label\"><span id=\"forminator-radiogroup-radio-1-6accff77bbb3b-label\" class=\"forminator-label\">Are you a Social Worker? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-1-label-1\" for=\"forminator-field-radio-1-1-6accff77bbb3b\" class=\"forminator-radio forminator-radio-inline\" title=\"Yes\"><input type=\"radio\" name=\"radio-1\" value=\"Yes\" id=\"forminator-field-radio-1-1-6accff77bbb3b\" aria-labelledby=\"forminator-field-radio-1-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Yes<\/span><\/label><label id=\"forminator-field-radio-1-label-2\" for=\"forminator-field-radio-1-2-6accff77bbb3b\" class=\"forminator-radio forminator-radio-inline\" title=\"No\"><input type=\"radio\" name=\"radio-1\" value=\"No\" id=\"forminator-field-radio-1-2-6accff77bbb3b\" aria-labelledby=\"forminator-field-radio-1-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><div id=\"date-2\" class=\"forminator-field-date forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-2-picker_6accff77bbb3b\" id=\"forminator-field-date-2-picker_6accff77bbb3b-label\" class=\"forminator-label\">Date of Referral <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-2\" value=\"\" placeholder=\"\" id=\"forminator-field-date-2-picker_6accff77bbb3b\" class=\"forminator-input forminator-datepicker\" data-required=\"1\" data-format=\"dd-mm-yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"group-1\" class=\"forminator-field-group forminator-col forminator-col-12 \"><label class=\"forminator-label forminator-repeater-label\">Referrer Details<\/label><div class=\"forminator-all-group-copies forminator-repeater-field\"><div class=\"forminator-grouped-fields\" data-options=\"{&quot;is_repeater&quot;:false,&quot;min_type&quot;:&quot;custom&quot;,&quot;max_type&quot;:&quot;custom&quot;,&quot;min&quot;:1,&quot;max&quot;:9223372036854775807,&quot;add_text&quot;:&quot;Add item&quot;,&quot;remove_text&quot;:&quot;Remove item&quot;,&quot;action_element_type&quot;:&quot;button&quot;}\"><div class=\"forminator-row\"><div id=\"html-1\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-1\"><h3><strong>Referrer Details<\/strong><\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-1_6accff77bbb3b\" id=\"forminator-field-name-1_6accff77bbb3b-label\" class=\"forminator-label\">Full Name <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-1\" value=\"\" placeholder=\"\" id=\"forminator-field-name-1_6accff77bbb3b\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><div id=\"text-5\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-5_6accff77bbb3b\" id=\"forminator-field-text-5_6accff77bbb3b-label\" class=\"forminator-label\">Relationship to prospective service user<\/label><input type=\"text\" name=\"text-5\" value=\"\" placeholder=\"\" id=\"forminator-field-text-5_6accff77bbb3b\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"email-2\" class=\"forminator-field-email forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-email-2_6accff77bbb3b\" id=\"forminator-field-email-2_6accff77bbb3b-label\" class=\"forminator-label\">Email Address <span class=\"forminator-required\">*<\/span><\/label><input type=\"email\" name=\"email-2\" value=\"\" placeholder=\"\" id=\"forminator-field-email-2_6accff77bbb3b\" class=\"forminator-input forminator-email--field\" data-required=\"1\" aria-required=\"true\" autocomplete=\"email\" \/><\/div><\/div><div id=\"phone-2\" class=\"forminator-field-phone forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-2_6accff77bbb3b\" id=\"forminator-field-phone-2_6accff77bbb3b-label\" class=\"forminator-label\">Phone <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"phone-2\" value=\"\" placeholder=\"\" id=\"forminator-field-phone-2_6accff77bbb3b\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" data-national_mode=\"enabled\" data-country=\"gb\" data-validation=\"standard\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"address-1\" class=\"forminator-field-address forminator-col forminator-col-12 \"><div class=\"forminator-row\"><div id=\"address-1-street_address\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-address-1-street_address_6accff77bbb3b\" id=\"forminator-field-address-1-street_address_6accff77bbb3b-label\" class=\"forminator-label\">Street Address <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"address-1-street_address\" placeholder=\"\" id=\"forminator-field-address-1-street_address_6accff77bbb3b\" class=\"forminator-input\" data-required=\"1\" aria-required=\"true\" autocomplete=\"address-line1\" value=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"address-1-address_line\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-address-1-address_line_6accff77bbb3b\" id=\"forminator-field-address-1-address_line_6accff77bbb3b-label\" class=\"forminator-label\">Address Line 2<\/label><input type=\"text\" name=\"address-1-address_line\" placeholder=\"\" id=\"forminator-field-address-1-address_line_6accff77bbb3b\" class=\"forminator-input\" data-required=\"\" aria-required=\"false\" autocomplete=\"address-line2\" value=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\" data-multiple=\"false\"><div id=\"address-1-city\" class=\"forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-address-1-city_6accff77bbb3b\" id=\"forminator-field-address-1-city_6accff77bbb3b-label\" class=\"forminator-label\">City <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"address-1-city\" placeholder=\"\" id=\"forminator-field-address-1-city_6accff77bbb3b\" class=\"forminator-input\" data-required=\"1\" aria-required=\"true\" autocomplete=\"address-level2\" value=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\" data-multiple=\"false\"><div id=\"address-1-zip\" class=\"forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-address-1-zip_6accff77bbb3b\" id=\"forminator-field-address-1-zip_6accff77bbb3b-label\" class=\"forminator-label\">Postal Code <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"address-1-zip\" placeholder=\"\" id=\"forminator-field-address-1-zip_6accff77bbb3b\" class=\"forminator-input\" autocomplete=\"postal-code\" value=\"\" \/><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"group-2\" class=\"forminator-field-group forminator-col forminator-col-12 \"><label class=\"forminator-label forminator-repeater-label\">Social Worker Details<\/label><div class=\"forminator-all-group-copies forminator-repeater-field\"><div class=\"forminator-grouped-fields\" data-options=\"{&quot;is_repeater&quot;:false,&quot;min_type&quot;:&quot;custom&quot;,&quot;max_type&quot;:&quot;custom&quot;,&quot;min&quot;:1,&quot;max&quot;:9223372036854775807,&quot;add_text&quot;:&quot;Add item&quot;,&quot;remove_text&quot;:&quot;Remove item&quot;,&quot;action_element_type&quot;:&quot;button&quot;}\"><div class=\"forminator-row\"><div id=\"html-2\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-2\"><h3><strong>Social Worker Details<\/strong><\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-2\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-2_6accff77bbb3b\" id=\"forminator-field-name-2_6accff77bbb3b-label\" class=\"forminator-label\">Full Name <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-2\" value=\"\" placeholder=\"\" id=\"forminator-field-name-2_6accff77bbb3b\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-3\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-3_6accff77bbb3b\" id=\"forminator-field-text-3_6accff77bbb3b-label\" class=\"forminator-label\">Job title <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-3\" value=\"\" placeholder=\"\" id=\"forminator-field-text-3_6accff77bbb3b\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-4\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-4_6accff77bbb3b\" id=\"forminator-field-text-4_6accff77bbb3b-label\" class=\"forminator-label\">Name of organisation <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-4\" value=\"\" placeholder=\"\" id=\"forminator-field-text-4_6accff77bbb3b\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"email-3\" class=\"forminator-field-email forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-email-3_6accff77bbb3b\" id=\"forminator-field-email-3_6accff77bbb3b-label\" class=\"forminator-label\">Email Address <span class=\"forminator-required\">*<\/span><\/label><input type=\"email\" name=\"email-3\" value=\"\" placeholder=\"\" id=\"forminator-field-email-3_6accff77bbb3b\" class=\"forminator-input forminator-email--field\" data-required=\"1\" aria-required=\"true\" autocomplete=\"email\" \/><\/div><\/div><div id=\"phone-3\" class=\"forminator-field-phone forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-3_6accff77bbb3b\" id=\"forminator-field-phone-3_6accff77bbb3b-label\" class=\"forminator-label\">Phone <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"phone-3\" value=\"\" placeholder=\"\" id=\"forminator-field-phone-3_6accff77bbb3b\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" data-national_mode=\"enabled\" data-country=\"gb\" data-validation=\"standard\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"address-2\" class=\"forminator-field-address forminator-col forminator-col-12 \"><div class=\"forminator-row\"><div id=\"address-2-street_address\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-address-2-street_address_6accff77bbb3b\" id=\"forminator-field-address-2-street_address_6accff77bbb3b-label\" class=\"forminator-label\">Street Address <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"address-2-street_address\" placeholder=\"\" id=\"forminator-field-address-2-street_address_6accff77bbb3b\" class=\"forminator-input\" data-required=\"1\" aria-required=\"true\" autocomplete=\"address-line1\" value=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"address-2-address_line\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-address-2-address_line_6accff77bbb3b\" id=\"forminator-field-address-2-address_line_6accff77bbb3b-label\" class=\"forminator-label\">Address Line 2<\/label><input type=\"text\" name=\"address-2-address_line\" placeholder=\"\" id=\"forminator-field-address-2-address_line_6accff77bbb3b\" class=\"forminator-input\" data-required=\"\" aria-required=\"false\" autocomplete=\"address-line2\" value=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\" data-multiple=\"false\"><div id=\"address-2-city\" class=\"forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-address-2-city_6accff77bbb3b\" id=\"forminator-field-address-2-city_6accff77bbb3b-label\" class=\"forminator-label\">City <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"address-2-city\" placeholder=\"\" id=\"forminator-field-address-2-city_6accff77bbb3b\" class=\"forminator-input\" data-required=\"1\" aria-required=\"true\" autocomplete=\"address-level2\" value=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\" data-multiple=\"false\"><div id=\"address-2-zip\" class=\"forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-address-2-zip_6accff77bbb3b\" id=\"forminator-field-address-2-zip_6accff77bbb3b-label\" class=\"forminator-label\">Postal Code <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"address-2-zip\" placeholder=\"\" id=\"forminator-field-address-2-zip_6accff77bbb3b\" class=\"forminator-input\" autocomplete=\"postal-code\" value=\"\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-2\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-2_6accff77bbb3b\" id=\"forminator-field-text-2_6accff77bbb3b-label\" class=\"forminator-label\">Name of local authority responsible for funding this care <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-2\" value=\"\" placeholder=\"\" id=\"forminator-field-text-2_6accff77bbb3b\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-5\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-5_6accff77bbb3b\" id=\"forminator-field-textarea-5_6accff77bbb3b-label\" class=\"forminator-label\">Reason for referral <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-5\" placeholder=\"Please provide all relevant information\" id=\"forminator-field-textarea-5_6accff77bbb3b\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"group-3\" class=\"forminator-field-group forminator-col forminator-col-12 \"><label class=\"forminator-label forminator-repeater-label\">Details of prospective service user<\/label><div class=\"forminator-all-group-copies forminator-repeater-field\"><div class=\"forminator-grouped-fields\" data-options=\"{&quot;is_repeater&quot;:false,&quot;min_type&quot;:&quot;custom&quot;,&quot;max_type&quot;:&quot;custom&quot;,&quot;min&quot;:1,&quot;max&quot;:9223372036854775807,&quot;add_text&quot;:&quot;Add item&quot;,&quot;remove_text&quot;:&quot;Remove item&quot;,&quot;action_element_type&quot;:&quot;button&quot;}\"><div class=\"forminator-row\"><div id=\"html-3\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-3\"><h3><strong>Details of prospective service user<\/strong><\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-2\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-2-6accff77bbb3b-label\"><span id=\"forminator-radiogroup-radio-2-6accff77bbb3b-label\" class=\"forminator-label\">Does the person have mental capacity? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-2-label-1\" for=\"forminator-field-radio-2-1-6accff77bbb3b\" class=\"forminator-radio forminator-radio-inline\" title=\"Yes\"><input type=\"radio\" name=\"radio-2\" value=\"Yes\" id=\"forminator-field-radio-2-1-6accff77bbb3b\" aria-labelledby=\"forminator-field-radio-2-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Yes<\/span><\/label><label id=\"forminator-field-radio-2-label-2\" for=\"forminator-field-radio-2-2-6accff77bbb3b\" class=\"forminator-radio forminator-radio-inline\" title=\"No\"><input type=\"radio\" name=\"radio-2\" value=\"No\" id=\"forminator-field-radio-2-2-6accff77bbb3b\" aria-labelledby=\"forminator-field-radio-2-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-4\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-4_6accff77bbb3b\" id=\"forminator-field-textarea-4_6accff77bbb3b-label\" class=\"forminator-label\">Provide more details on Mental Capacity <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-4\" placeholder=\"\" id=\"forminator-field-textarea-4_6accff77bbb3b\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-3\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-3_6accff77bbb3b\" id=\"forminator-field-name-3_6accff77bbb3b-label\" class=\"forminator-label\">Full Name <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-3\" value=\"\" placeholder=\"\" id=\"forminator-field-name-3_6accff77bbb3b\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-1\" class=\"forminator-field-date forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-1-picker_6accff77bbb3b\" id=\"forminator-field-date-1-picker_6accff77bbb3b-label\" class=\"forminator-label\">Date of Birth <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-1\" value=\"\" placeholder=\"\" id=\"forminator-field-date-1-picker_6accff77bbb3b\" class=\"forminator-input forminator-datepicker\" data-required=\"1\" data-format=\"dd-mm-yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><div id=\"email-4\" class=\"forminator-field-email forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-email-4_6accff77bbb3b\" id=\"forminator-field-email-4_6accff77bbb3b-label\" class=\"forminator-label\">Email Address<\/label><input type=\"email\" name=\"email-4\" value=\"\" placeholder=\"\" id=\"forminator-field-email-4_6accff77bbb3b\" class=\"forminator-input forminator-email--field\" data-required=\"\" aria-required=\"false\" autocomplete=\"email\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-1\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-1_6accff77bbb3b\" id=\"forminator-field-text-1_6accff77bbb3b-label\" class=\"forminator-label\">National insurance number<\/label><input type=\"text\" name=\"text-1\" value=\"\" placeholder=\"\" id=\"forminator-field-text-1_6accff77bbb3b\" class=\"forminator-input forminator-name--field\" data-required=\"\" maxlength=\"9\" \/><span id=\"forminator-field-text-1_6accff77bbb3b-description\" class=\"forminator-description\"><span data-limit=\"9\" data-type=\"characters\">0 \/ 9<\/span><\/span><\/div><\/div><div id=\"radio-4\" class=\"forminator-field-radio forminator-col forminator-col-6 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-4-6accff77bbb3b-label\"><span id=\"forminator-radiogroup-radio-4-6accff77bbb3b-label\" class=\"forminator-label\">Gender <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-4-label-1\" for=\"forminator-field-radio-4-1-6accff77bbb3b\" class=\"forminator-radio forminator-radio-inline\" title=\"Female\"><input type=\"radio\" name=\"radio-4\" value=\"Female\" id=\"forminator-field-radio-4-1-6accff77bbb3b\" aria-labelledby=\"forminator-field-radio-4-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Female<\/span><\/label><label id=\"forminator-field-radio-4-label-2\" for=\"forminator-field-radio-4-2-6accff77bbb3b\" class=\"forminator-radio forminator-radio-inline\" title=\"Male\"><input type=\"radio\" name=\"radio-4\" value=\"Male\" id=\"forminator-field-radio-4-2-6accff77bbb3b\" aria-labelledby=\"forminator-field-radio-4-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Male<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"address-3\" class=\"forminator-field-address forminator-col forminator-col-12 \"><div class=\"forminator-row\"><div id=\"address-3-street_address\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-address-3-street_address_6accff77bbb3b\" id=\"forminator-field-address-3-street_address_6accff77bbb3b-label\" class=\"forminator-label\">Street Address <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"address-3-street_address\" placeholder=\"\" id=\"forminator-field-address-3-street_address_6accff77bbb3b\" class=\"forminator-input\" data-required=\"1\" aria-required=\"true\" autocomplete=\"address-line1\" value=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"address-3-address_line\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-address-3-address_line_6accff77bbb3b\" id=\"forminator-field-address-3-address_line_6accff77bbb3b-label\" class=\"forminator-label\">Address Line 2<\/label><input type=\"text\" name=\"address-3-address_line\" placeholder=\"\" id=\"forminator-field-address-3-address_line_6accff77bbb3b\" class=\"forminator-input\" data-required=\"\" aria-required=\"false\" autocomplete=\"address-line2\" value=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\" data-multiple=\"false\"><div id=\"address-3-city\" class=\"forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-address-3-city_6accff77bbb3b\" id=\"forminator-field-address-3-city_6accff77bbb3b-label\" class=\"forminator-label\">City <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"address-3-city\" placeholder=\"\" id=\"forminator-field-address-3-city_6accff77bbb3b\" class=\"forminator-input\" data-required=\"1\" aria-required=\"true\" autocomplete=\"address-level2\" value=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\" data-multiple=\"false\"><div id=\"address-3-zip\" class=\"forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-address-3-zip_6accff77bbb3b\" id=\"forminator-field-address-3-zip_6accff77bbb3b-label\" class=\"forminator-label\">Postal Code <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"address-3-zip\" placeholder=\"\" id=\"forminator-field-address-3-zip_6accff77bbb3b\" class=\"forminator-input\" autocomplete=\"postal-code\" value=\"\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-4\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-4_6accff77bbb3b\" id=\"forminator-field-name-4_6accff77bbb3b-label\" class=\"forminator-label\">Full Name (Next of Kin) <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-4\" value=\"\" placeholder=\"\" id=\"forminator-field-name-4_6accff77bbb3b\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-1\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-1_6accff77bbb3b\" id=\"forminator-field-textarea-1_6accff77bbb3b-label\" class=\"forminator-label\">Primary diagnosis (mental health \/ autism \/ learning disability \/ physical disability) <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-1\" placeholder=\"Please provide as much detail as possible.\" id=\"forminator-field-textarea-1_6accff77bbb3b\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-2\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-2_6accff77bbb3b\" id=\"forminator-field-textarea-2_6accff77bbb3b-label\" class=\"forminator-label\">Past medical history (sickle cell disease, diabetes, asthma, etc..) <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-2\" placeholder=\"Please provide as much details as possible\" id=\"forminator-field-textarea-2_6accff77bbb3b\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-3\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-3-6accff77bbb3b-label\"><span id=\"forminator-radiogroup-radio-3-6accff77bbb3b-label\" class=\"forminator-label\">At the time of making the referral, is the patient pregnant? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-3-label-1\" for=\"forminator-field-radio-3-1-6accff77bbb3b\" class=\"forminator-radio forminator-radio-inline\" title=\"Yes\"><input type=\"radio\" name=\"radio-3\" value=\"Yes\" id=\"forminator-field-radio-3-1-6accff77bbb3b\" aria-labelledby=\"forminator-field-radio-3-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Yes<\/span><\/label><label id=\"forminator-field-radio-3-label-2\" for=\"forminator-field-radio-3-2-6accff77bbb3b\" class=\"forminator-radio forminator-radio-inline\" title=\"No\"><input type=\"radio\" name=\"radio-3\" value=\"No\" id=\"forminator-field-radio-3-2-6accff77bbb3b\" aria-labelledby=\"forminator-field-radio-3-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><label id=\"forminator-field-radio-3-label-3\" for=\"forminator-field-radio-3-3-6accff77bbb3b\" class=\"forminator-radio forminator-radio-inline\" title=\"N\/A\"><input type=\"radio\" name=\"radio-3\" value=\"N-A\" id=\"forminator-field-radio-3-3-6accff77bbb3b\" aria-labelledby=\"forminator-field-radio-3-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">N\/A<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-3\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-3_6accff77bbb3b\" id=\"forminator-field-textarea-3_6accff77bbb3b-label\" class=\"forminator-label\">Please add any additional relevant information<\/label><textarea name=\"textarea-3\" placeholder=\"\" id=\"forminator-field-textarea-3_6accff77bbb3b\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"upload-1\" class=\"forminator-field-upload forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-upload-1_6accff77bbb3b\" id=\"forminator-field-upload-1_6accff77bbb3b-label\" class=\"forminator-label\">Upload any relevant Documents here<\/label><div class=\"forminator-multi-upload \" data-element=\"upload-1_6accff77bbb3b\"><input type=\"file\" name=\"upload-1[]\" id=\"forminator-field-upload-1_6accff77bbb3b\" class=\"forminator-input-file forminator-field-upload-1_6accff77bbb3b-1322\" multiple=\"multiple\" data-method=\"ajax\" accept=\".webp,.jpg,.jpeg,.jpe,.pdf,image\/webp,image\/jpeg,application\/pdf\" data-size=\"8388608\" data-size-message=\"Maximum file size allowed is 8 MB. \" data-filetype=\"webp|jpg|jpeg|jpe|pdf\" data-filetype-message=\"file extension is not allowed.\"><div class=\"forminator-multi-upload-message\" aria-hidden=\"true\"><span class=\"forminator-icon-upload\" aria-hidden=\"true\"><\/span><p>Drag and Drop (or) <a class=\"forminator-upload-file--forminator-field-upload-1_6accff77bbb3b\" href=\"#\" onclick=\"return false;\">Choose Files<\/a><\/p><\/div><\/div><ul class=\"forminator-uploaded-files upload-container-upload-1_6accff77bbb3b\"><\/ul><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-4\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-4\"><p>** Please note a more thorough assessment will be carried out as mentioned in step 3 **<\/p><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\" style=\"margin: 0;\"><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><div class=\"forminator-row forminator-row-last\"><div class=\"forminator-col\"><div class=\"forminator-field\"><button class=\"forminator-button forminator-button-submit\">Submit<\/button><\/div><\/div><\/div><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"0c9a6d1ff4\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/Norvia\/wp-json\/wp\/v2\/pages\/1305\" \/><input type=\"hidden\" name=\"form_id\" value=\"1322\"><input type=\"hidden\" name=\"page_id\" value=\"1305\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/www.hzelectrical.co.za\/Norvia\/referrals\/\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"forminator-multifile-hidden\" class=\"forminator-multifile-hidden\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><\/form>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; custom_padding_last_edited=&#8221;on|phone&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;70px||70px||true|false&#8221; custom_padding_tablet=&#8221;40px||40px||true|false&#8221; custom_padding_phone=&#8221;30px||30px||true|false&#8221; locked=&#8221;off&#8221; 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global_colors_info=&#8221;{%22gcid-primary-color%22:%91%22title_text_color%22%93}&#8221; sticky_enabled=&#8221;0&#8243;][\/et_pb_heading][et_pb_text _builder_version=&#8221;4.27.8&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;||||||||&#8221; text_text_color=&#8221;gcid-69409459-10fb-4c25-ad28-390b52007d24&#8243; text_line_height=&#8221;1.4em&#8221; custom_margin=&#8221;||||false|false&#8221; custom_padding=&#8221;1px|||||&#8221; text_font_size_tablet=&#8221;2vw&#8221; text_font_size_phone=&#8221;3.6vw&#8221; text_font_size_last_edited=&#8221;on|phone&#8221; text_line_height_tablet=&#8221;1.5em&#8221; text_line_height_phone=&#8221;1.4em&#8221; text_line_height_last_edited=&#8221;on|phone&#8221; global_colors_info=&#8221;{%22gcid-69409459-10fb-4c25-ad28-390b52007d24%22:%91%22text_text_color%22%93}&#8221;]<\/p>\n<p>If you are a social worker, care coordinator, GP, hospital discharge planner, or local authority commissioner <strong>looking to refer a client to Norvia Care Solutions<\/strong>, we welcome your referral. We work collaboratively with health and social care professionals across Walsall and West Midlands to ensure seamless, timely, and effective care delivery.<\/p>\n<p>For professional referrals, please <strong>complete the form above<\/strong> or contact us directly. We can accommodate <strong>urgent and fast-track referrals<\/strong> and are responsive to complex care needs.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=&#8221;1_6,1_6,1_6,1_6,1_6,1_6&#8243; use_custom_gutter=&#8221;on&#8221; make_equal=&#8221;on&#8221; _builder_version=&#8221;4.27.8&#8243; _module_preset=&#8221;default&#8221; width=&#8221;90%&#8221; max_width=&#8221;1580px&#8221; custom_padding=&#8221;||||true|false&#8221; global_colors_info=&#8221;{}&#8221; locked=&#8221;off&#8221;][et_pb_column type=&#8221;1_6&#8243; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;20px|20px|20px|20px|true|true&#8221; border_radii=&#8221;on|10px|10px|10px|10px&#8221; border_width_all=&#8221;2px&#8221; border_color_all=&#8221;gcid-secondary-color&#8221; global_colors_info=&#8221;{%22gcid-secondary-color%22:%91%22border_color_all%22%93}&#8221;][et_pb_text _builder_version=&#8221;4.27.8&#8243; _module_preset=&#8221;default&#8221; 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_builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;20px|20px|20px|20px|true|true&#8221; border_radii=&#8221;on|10px|10px|10px|10px&#8221; border_width_all=&#8221;2px&#8221; border_color_all=&#8221;gcid-secondary-color&#8221; global_colors_info=&#8221;{%22gcid-secondary-color%22:%91%22border_color_all%22%93}&#8221;][et_pb_text _builder_version=&#8221;4.27.8&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;||||||||&#8221; text_text_color=&#8221;gcid-69409459-10fb-4c25-ad28-390b52007d24&#8243; text_line_height=&#8221;1.5em&#8221; custom_margin=&#8221;||||false|false&#8221; custom_padding=&#8221;1px|||||&#8221; text_font_size_tablet=&#8221;2vw&#8221; text_font_size_phone=&#8221;3.6vw&#8221; text_font_size_last_edited=&#8221;on|phone&#8221; text_line_height_tablet=&#8221;1.5em&#8221; text_line_height_phone=&#8221;1.4em&#8221; text_line_height_last_edited=&#8221;on|phone&#8221; sticky_enabled=&#8221;0&#8243; global_colors_info=&#8221;{%22gcid-69409459-10fb-4c25-ad28-390b52007d24%22:%91%22text_text_color%22,%22text_text_color%22%93}&#8221; text_orientation=&#8221;center&#8221;]<\/p>\n<p><strong>Hospital \/ GP<\/strong>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_6&#8243; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;20px|20px|20px|20px|true|true&#8221; border_radii=&#8221;on|10px|10px|10px|10px&#8221; border_width_all=&#8221;2px&#8221; border_color_all=&#8221;gcid-secondary-color&#8221; global_colors_info=&#8221;{%22gcid-secondary-color%22:%91%22border_color_all%22%93}&#8221;][et_pb_text _builder_version=&#8221;4.27.8&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;||||||||&#8221; text_text_color=&#8221;gcid-69409459-10fb-4c25-ad28-390b52007d24&#8243; text_line_height=&#8221;1.5em&#8221; custom_margin=&#8221;||||false|false&#8221; custom_padding=&#8221;1px|||||&#8221; text_font_size_tablet=&#8221;2vw&#8221; text_font_size_phone=&#8221;3.6vw&#8221; text_font_size_last_edited=&#8221;on|phone&#8221; text_line_height_tablet=&#8221;1.5em&#8221; text_line_height_phone=&#8221;1.4em&#8221; 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Referrals are reviewed promptly by our Walsall-based team, who will come back to you to confirm next steps.Who can refer? Professionals, organisations, family members and authorised representatives.Referral types Domiciliary Care and [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"class_list":["post-1305","page","type-page","status-publish","hentry"],"_hostinger_reach_plugin_has_subscription_block":false,"_hostinger_reach_plugin_is_elementor":false,"_links":{"self":[{"href":"https:\/\/www.hzelectrical.co.za\/Norvia\/wp-json\/wp\/v2\/pages\/1305","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.hzelectrical.co.za\/Norvia\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.hzelectrical.co.za\/Norvia\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.hzelectrical.co.za\/Norvia\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.hzelectrical.co.za\/Norvia\/wp-json\/wp\/v2\/comments?post=1305"}],"version-history":[{"count":10,"href":"https:\/\/www.hzelectrical.co.za\/Norvia\/wp-json\/wp\/v2\/pages\/1305\/revisions"}],"predecessor-version":[{"id":1324,"href":"https:\/\/www.hzelectrical.co.za\/Norvia\/wp-json\/wp\/v2\/pages\/1305\/revisions\/1324"}],"wp:attachment":[{"href":"https:\/\/www.hzelectrical.co.za\/Norvia\/wp-json\/wp\/v2\/media?parent=1305"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}