Referral request

Begin with a brief, permission-based request.

This route is for self-referrals and initial requests from families, schools or community professionals. We will explain any further information needed after reviewing it.

What to include

  • Who you are and how we can contact you
  • Your relationship to the person or family
  • A short outline of the support being requested
  • Any immediate communication or accessibility need

Not for emergencies

Do not use this form if someone is in immediate danger or for an urgent safeguarding referral. Contact emergency services or the relevant statutory safeguarding service.

Read our safeguarding guidance

Secure first step

Referral form

Before you begin

Please share only what is necessary. Do not include diagnoses, safeguarding records or detailed information about a child in this initial form.