Dalmellington: 01292 550696
Cumnock: 01290 426404
Kilmarnock: 01563 571533

Young Carers Referral

Fill in the form below to start the process of registering as a young carer or referring someone into our service.

Information on the Young Carer

Was this form completed by the young carer? (If yes, skip the next section and click "Submit". If no, please complete the Referrer section below.)

Information on the Referrer (if applicable)

Is the Young Carer aware of the referral?

What happens next?

Once we receive your submitted form, we will make contact to invite you along to our groups and to make use of our services. If this is being completed by a referrer, we may make contact with you for some further information.

© 2024 East Ayrshire Carers Centre Ltd.
East Ayrshire Carers Centre Ltd is a charity registered in Scotland No SC024914
Data Protection Policy
Registered Company No 276934