Children's contact service: make a referral

Fill in this form to make an initial referral.

What we need from you

  • Personal details
  • Contact requirements (time and date preferences)
  • Names of child(ren)
  • Identified risks (any factors that may pose a safety risk in a contact session)

What happens next

  • You will receive a response from one of our team, who will work with you to shape your requirement.

This form will take approximately 10 to 15 minutes to complete. Press 'Continue' to start.