Form submitted

Thank you for completing our eligibility screening tool.

Please note: this is NOT a referral.

Please look out for an email from which will arrive within a few minutes. This email contains important instructions for completing the referral if the family meets our criteria.

You must follow the steps in the email to provide additional information to complete the referral.

If the family are eligible for support and you do not complete the referral forms for both parent and child(ren) indicated in the email sent to you, we will not be able to support the family and will close this enquiry.

Please check your email