Older People’s Service

Referral Form

You are now making a referral to EAAS Older People’s Service.

This service is for East Ayrshire residents aged 65 and over.

All information submitted is confidential. The person referred and/or the person referring will be contacted by an advocate as soon as possible.

Please note we may need to contact you for further information – if you are not reachable we may not be able to progress the referral.

Are you making this referral for: