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

This service covers the following areas: Bristol, Somerset, BANES, North Gloucestershire, North Somerset, Wiltshire, Reading, Oxford 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