All information on this form will be strictly confidential. Please note that we are unable to offer a person an interview until this Referral Form is completed in full and a Care Plan attached where appropriate. Following agreement on attendance, a full Risk Assessment will be conducted and personal medical form completed. The Teamwork Trust are a NCC & NHS funded provider of Day Care Programmes. To access our services, the Service User will require either: 1) A Personal Budget / PIP 2) An ability to personally fund their attendance. If either are an option then the potential Service User will require a personal assessment of needs by a member of the NCC Adult Social Care Team. They can be contacted via the NCC website.