Referral for Advocacy Service Form

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This form has questions about personal circumstances and personal details. It asks about how best to communicate and the issues that Advocacy is needed for. These questions will
help us work with you / our clients in a way that is best for you / them.

The form can be filled out by the person who wants the service, someone else on their behalf, a professional or NWAAA staff. This form can be printed or filled in electronically.

Who are NWAAA?

Facebook: Friends of NWAAA
Phone: 01248 670852 – Email:

Post: NWAAA, 14a Llys Onnen, Pare Menai, Bangor, LL57 4DF

**please note there is no drop-in facility at the office**

Nwaaa passionately believes in enabling people to overcome problems and make informed choices that will improve their lives. We aim to work with people before a situation becomes a crisis, and we aim to work in a way that supports independence and participation. This is called empowerment.

Nwaaa values diversity and difference and will work hard with or on behalf a person who be-lieves they are being excluded or disadvantaged because of who they are. This means we fight for equal opportu-nities and human rights.