Independent Mental Capacity Advocacy Referral (IMCA)

Referrals can only be made by the decision-maker, often a doctor or social worker, or someone authorised by them (authorised officer). The referral should be made in writing by completing a referral form (click the image below to download the form).

Referral Form

Please return the form to us by either e-mail, post or fax to:
Post: IMCA, Asist, Winton House, Stoke Road, Stoke-on-Trent, ST4 2RW
Fax: 01782 746647

Asist will confirm acceptance of referrals within one working day of receipt.

*** Please note that the IMCA service is only permitted to take IMCA instructions directly.  If you have made a DOLS referral the Supervisory Body will appoint an IMCA accordingly if required.***


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