Please use this form if you are the parent / guardian of a young carer aged 5+ in Medway 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. Young carers aged 13 or over are able to consent themselves.
Please provide us with as much information within each of the boxes as possible.