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.

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 us directly. Contact details can be found here found here.

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

Please see our terms and conditions and privacy policy here.

Fill out my online form.

Please make sure you have submitted your referral form

To complete the referral form you must fill in the fields above and click 'Next Page' until you get to page 6 where you will then 'Submit.' Once you have done this, your referral is complete.

Please only use the 'Save' button below to upload additional attachments. For example, early help notes etc.  This 'Save' button is to save attachments only. If you do not have any additional attachements, then please ignore the 'Save' button.

If you have problems completing the online form, plesae contact us  at where we can assist you further.