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 child’s online life, and much more.

In this form we ask you for some basic information about yourself, your child and your situation so that we can start to think about the best way of helping you. We will also ask for you to tell us the best way of contacting you directly, like phone or email, so that we can make a plan together with you about what will happen next. 

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

We will respond to any children or young people who contact us as a priority.​​​​​