Make a Referral

Supporting Young People Starts Here

If you would like to refer a young person for support, please complete the referral form below.
Our team will review the information carefully and contact you within one working day to discuss next steps.

accepted referrals

Schools and academies

Local authorities

Social care teams

Alternative provision

Parents and carers

Referral Form

Full Name

Organisation

Role / Job Title

Phone Number

Full Name

Date of Birth

School / Setting (if applicable)

Year Group

Parent / Carer Name & Contact Details

Address

Reason for Referral

Summary of concerns Barriers to education or engagement Current attendance status Relevant medical, behavioural or SEN information

Support Requested

What Happens Next?

review

Our team will review your information within one working day.

Contact

We will contact you to discuss the young person’s needs in more detail.

Offer

A support plan or provision offer will be agreed with you.

safeguarding checks

We will arrange a start date and ensure all safeguarding checks are in place.

If You Need Urgent Support

If you are concerned a young person is at immediate risk, please contact the relevant local safeguarding team or call 999 in an emergency. We cannot accept emergency safeguarding referrals through this form.

Call 999