Macmillan Village Agent Referral Form
This form can be used to refer someone to Cambridgeshire ACRE for support from a Macmillan Village Agent. Our Macmillan Village Agents work across Fenland and can only support people living in the Fenland area.
We will consider referrals for (the list is not exhaustive):
Practical and emotional support
Wellbeing check and match to the best support available
Representation by liaising with health professionals, Macmillan support workers and other services
Linking with Community Cancer Champions and local volunteers
Unpaid carers
Confidence with talking about cancer
Assistance with understanding correspondence/paperwork
Signposting to services that also provide help and advice
Support to arrange community transport for accessing health appointments
Help to identify benefits that the individual is not yet in receipt of but may be entitled to
Accessing personalised cancer care
General Data Protection Regulation (GDPR) Statement
When you commplete the form, we ask you to confirm that the individual you are referring has consented to their personal information being passed to Cambridgeshire ACRE. All information provided is treated in the strictest confidence. Cambridgeshire ACRE's Village Agent Service privacy notice setting out how we safeguard the personal data provided is available to read here.
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Please provide your details as follows:
Name
Job title (if applicable)
Organisation (if applicable)
Phone number
Email
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