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Refer A Child


We need some basic information to get the ball rolling.

We appreciate that some information will be sensitive so we are not asking for much detail at this stage.

We can can reassure you that the details you disclose will be handled sensitively and we won’t be sharing or keeping personal information without your permission.

Our systems are encrypted to the highest standards and are regularly reviewed to ensure we provide the best possible service to keep your data safe.

If you are referring more than one child for counselling and emotional support, please complete one form per child.

Embrace - mending, hearts, minds and families