Young Carers Referral

 

Name of Persons "Cared For"

 
 

Other People Living at Home

 
 

Young Carers Contact Details

 
 
 
 
 

School Attended

 
 
 
 

Nature of Illness/Disability

About the Referrer

 
 
 
 

In order for this referral to be processed a parent or guardian must have consented to the referral being made to The Young Carers Service.

Yes

Please include in reason for referral, what is the impact and effect that the possible caring role may have on the young person/child that you are referring.

 

Young Carers Referral Form

Tel: 01738 567076
Fax: 01738 440717

Definition of a Young Carer:

A young carer is child or young person between the ages of 5-16 who provides care or assistance to a family member of any age, due to a disability, mental health issues, chronic / terminal illness or problems relating to substance or alcohol misuse. Young carers often taken on responsibilities which would normally be associated with that of an adult.