Due to a significant reduction in our capacity currently and the recruitment challenges many of us are facing, unfortunately, we are unable to guarantee that we can respond quickly to referrals being received.

The Word document is an editable file that you can enter details into, save and send to us.  It is important that all information is provided for a referral to be processed.

There are other services and resources that may be able to provide support during this time, please click here to access this list. 

If you would like some information on a New Referral you have already made or about a young carer that we are currently working with,  please contact the staff member in the area and age range that the young person falls under., details can be found here.

Please ensure all details on the form are filled in as we cannot process referrals that have missing information. 




Referral Form:


 Referral Document (894.8KB)

to edit, save and return


 Referral Document (674.7KB)

to print and handwrite