Young people - Online referral form (ages 4 - 18)

We want to make sure that you receive the best help possible, as quickly as possible, from the best service for you.  The referral form asks for lots of information about you in order to achieve this.  If you can find somewhere quiet, where you won’t be interrupted, this will help.

Your answers suggest an immediate risk and we would encourage you to call the Crisis Care Team NOW

on 0800 032 8728 Option 1

Alternatively, call 111

This is available 24 hours a day, 7 days a week

Your answers suggest an immediate risk and we would encourage you to call the Crisis Care Team NOW

on 0800 032 8728 Option 1

Alternatively, call 111

This is available 24 hours a day, 7 days a week

Your answers suggest an immediate risk and we would encourage you to call the All Age Access Team NOW

on 0800 032 8728 Option 1

Or text on 07739 775202

This is available 24 hours a day, 7 days a week

Thanks for contacting us! We are unable to proceed with the online referral until there has been difficulties with sleep for at least 4 weeks. Please wait until then before submitting a referral. In the meantime, please have a look at the Combined Wellbeing Portal for more guidance and information

Your answers suggest an immediate risk and we would encourage you to call the All Age Access Team NOW

on 0800 032 8728 Option 1

Or text on 07739 775202

This is available 24 hours a day, 7 days a week

Thanks for contacting us! We are unable to accept development concern self referrals from people aged under 14 years. Please talk to your parent/ carer or a health / education professional instead. In the meantime, please have a look at the Combined Wellbeing Portal for more guidance and information.

Thanks for contacting us! We are unable to accept development concern self referrals from people aged under 14 years. Please talk to your parent/ carer or a health / education professional instead. In the meantime, please have a look at the Combined Wellbeing Portal for more guidance and information.