Child referral form

  • Single Agency Referral Form
    This form is to be used when making a referral into Children’s Social Care, or for a referral to a single agency or for Early Help. The form should be completed with consent unless the referral is due to child protection concerns and to approach the child/young person/parent/carer would mean an increased risk of significant harm, prejudice the prevention or detection of crime, or place an adult at risk of significant harm.
  • Section 1 - Referrer's details

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