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Make a referral
Make a Referral
Referrals can be made for a variety of reasons including, you are working with a young person who has indicated that they would like to access the group, further information or the services that we deliver.
We aim to review referrals within 3 working days and reply within 7 days. Where sufficient contact information is available to contact the young person directly and it is appropriate we will do this. Each referral will be considered individually and in accordance with our policies and procedures. We will only pass information back to the person making the referral where this is appropriate and necessary.
You may also want to contact The Intercom Trust Helpline 0800 6123010
If you would like to refer a young person to us, please fill in the form below.
Please complete all fields as they are all required.
Referrer's Phone No:
Name of Young Person Being Referred:
Young Person's Email:
Young Persons Phone No:
Young Persons Age:
How did you hear about us?
Recommended by a friend
Personal Experience of YAY!
Why are you referring the Young Person?
Does the Young Person have any specific needs that we should take account of so that they can access the group?
I confirm that I have the Young Person's full permission to pass their details and make this referral to LGBTQ Youth Cornwall:
I confirm that there are no immediate safeguarding issues that have not been addressed concerning the Young Person I am referring:
By submitting this form, you confirm that you have the permission of the young person to pass their details and make a referral to LGBTQ Youth Cornwall.
Your referral will be dealt with in accordance with our policies and procedures, the information you have provided may be shared with other organisations if felt appropriate to ensure the best service.
LGBTQ Youth Cornwall will not be responsible for any malicious referrals. Action may be taken in respect to any referrals that are found to be malicious.
Submit the Referral
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