Macmillan Benefits

Macmillan Benefits

This form is designed to allow anyone affected by cancer to refer themselves to the Macmillan Team at Citizens Advice Bassetlaw for financial help.

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Referral Consent       

When we record and use your personal information we:

  • only access it when we have a good reason
  • only share what is necessary and relevant
  • and don’t sell it to commercial organisations.

We need to record information about you to help with your enquiry. We have a legitimate interest to do this. Please let us know if you’d like more information about how we’ll use your data.


We need your explicit consent to use some information which includes your health conditions. If you agree, we’ll use this information, which is known as ‘special category personal data’ to:

  • give you advice 
  • help us gather data to improve our service
  • support our research in a way that you can’t be identified 

By ticking the box below you consent to Citizens Advice Bassetlaw recording this special category data.


In the space below please list the following where applicable: 

  • GP
  • Surgery
  • Consultant
  • Hospital
  • Allocated Nurse

If you a professional, sending the details as a referral, please put your details below


Once you press submit, we'll be in touch within 72 hours. For more urgent referrals, please contact us on 07889 726958 or email macmillan@bassetlawca.org.uk    

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