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Please note that as a self-referral service we require the parent/carer or the child/young person to complete the following forms.

If you are a practitioner

You may wish to support a young person/parent to complete this form or alternatively, contact us for general information and advice by phone or email.


If you are a parent, carer or family member submitting a referral on behalf of a young person.

Young Person

If you are a young person submitting the form yourself.