Fill in this form to get help with everything from going back to school, to emotional and wellbeing advice and counselling, to family stress and finding coping strategies to concerns about your online life, and much more.

In this form we ask you for some basic information about yourself and your situation so that we can start to think about the best way of helping you.

If you don’t feel ready to tell us this information then that is ok. Asking for help is a big step and it can take time before you trust someone about what might happen next. You can speak to Childline anonymously, without giving any information. They will listen to any child or young person about anything which is worrying them and talk to you about what options for help and support are available for you. You can visit their website.

This referral form is for Scotland, Wales or Northern Ireland. If you reside in England nation, please submit your referral here.