Please use this form if you are the parent / guardian of a young carer aged 13+ in the London Borough's of Medway or Newham, or aged 16-17 in Lincolnshire.
Please ensure you discuss this referral with the young person. In our experience young people who are unaware of the referral often will not engage with our service. As this service is child focused it is important that the young person understands why they are being referred.
Provide us with as much information within each of the boxes as possible
We are unable to accept the referral if consent has not been given. If a young carer is 13 or over they are able to consent themselves, if they are under 13 you will need to indicate consent as their parent / guardian.