Young Carer’s Referral Form

Is The Young Person On North Lanarkshire Child Protection List?

Please Confirm That The Family And The Referred Young Person Are Aware Of This Referral:

Is A Young Carers Statement In Place:

Is the school aware of the caring role?

Can Young Carers contact the school to discuss this young person?

Is there a Child’s Plan in place?

Person Making This Referral, Please Select From The Following Options:

Thank you for making a referral. This form will give us a brief understanding of the caring situation. We will follow your referral up with a phone call, information pack or school visit (depending on what is most appropriate). Please feel free to call us if you have any questions whilst completing the referral. You may not have all the information we ask for, so please complete as much of the form as possible.