Please download the form in the format you prefer. These links will open a new browser window.
IN THE FIRST INSTANCE ALL REFERRALS SHOULD BE DISCUSSED WITH A SOCIAL WORKER, WHO WILL EITHER:
A. AGREE TO ACCEPT THE REFERRAL
B. DIRECT YOU TO MORE RELEVANT SERVICES.
C. AGREE NO FURTHER ACTION IS REQUIRED.
Contact the Central Referral Team (CRT) on: 0800 724 3176
You must have consent from the child/family to submit this referral unless there is a risk of significant harm. This will have been discussed in your consultation.
Once completed this form should be sent to CRT within 48 Hours of it being agreed that a referral should be submitted.
Fax: 0521 9254 2625
Mil Fax. 81 2625
and send a copy to the SSWP you spoke to. Please confirm receipt of referral.