If you would like to discuss a possible referral with us please contact us in your most convenient way. To make a referral please fill in our referral form, downloadable on this page.

The Word document is an editable file that you can enter details into, save and send to us. Alternatively, if it is easier to handwrite, you can print out a copy of the pdf file.

Once you have completed the referral form you can use the online form below to return it to us.

Once we have received the referral it will be passed to one of our staff to be processed. The young person and their family will then be contacted, and we will arrange the most appropriate support with them.

Due to changes within the organisation there may be a delay on referrals, whilst this is the case we wanted to signpost you to services that may be able to support during this time, click here to access this list. 


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