Community Autism Support Service Adult Referral Form

Thank you for your interest in a referral to the Community Autism Support Service.

To help us understand if our service is right for you, please fill out the referral form below. The information provided will help us match you with the right support or allocate you elsewhere as quickly and smoothly as possible.

This support needs form is for those who need non-clinical targeted small-group support that can help with understanding autism and how it can influence your life. If you require other forms of support, you DO NOT need to complete this form. Please follow the links below to view and refer to our other services:

Adult Social Groups – register HERE
Autistic Adults Education Online Sessions – book HERE

Before you start

Check that your email system will accept emails from support.documents@cwmind.org.uk.

This is to avoid emails ending up in your junk folder. Confirmation of your referral will be sent to you from this address.

About the form

Mandatory fields are marked with an *.

You can press Save for Later to pause completion and return at a later time. Follow the on-screen instructions.