Provided by Macmillan Money & More South West (North) Partnership.

This service covers the following areas: Bristol, Somerset, BANES, Gloucestershire, North Somerset, Wiltshire, Berkshire, Oxfordshire and Swindon. You must be resident or having treatment in one of those areas.

This form is for the referral of people who have a current cancer diagnosis. Referrals can be made by the person or on behalf of the person by e.g. a third party such as a friend, family member or carer.

We need to record information about you and the people mentioned in this form to help with your referral. We have a legitimate interest to do this. If you would like to know more about how we use your data, please visit www.citizensadvice.org.uk/myinformation