Advocacy Referral

Please Note:

The advocacy service is a confidential service and unable to share information provided by young people unless requested by the young person or a safeguarding concern. The service is transparent and shares all information we hold with the young people we are working for.

Your name*

Your email*

Your contact number*

Before Making This Referral, Please Note:

Referrals can only be made on behalf of young people who have provided full consent for the referral to be made and their personal information to be shared.

Profession/Relationship to young person*

Young person's name*

Young person's age*

Young person's date of birth*

Young person's contact number*

The town where young person currently resides*

Is the young person...*

Kent Looked After Young Person
Medway Looked After Young Person
Other/Unsure

Legal status of young person*

Child in Need
Child in Care
Care Leaver
Family Group Conference
Not Sure

Is the young person aware of the referral?*

Yes
No

If not, please explain reasons why

Has this young person had an advocacy case with YLF before?*

Yes
No
Unsure

What advocacy issues does the young person require support with?*

Is there any safety/lone working information regarding direct work with the young person?*

Yes
No
Unknown

If yes, please add further information here:

How did you hear about us?*

Any further info regarding the issues the young person requires advocacy support for

CAPTCHA

Check to confirm:*

I confirm the young person has provided consent for a referral to be made on their behalf and all information contained within the referral to be shared with the advocacy service.
I understand the advocacy service is a confidential service and unable to share any information provided by young people externally unless requested by the young person or if relating to a safeguarding concern. I understand the service is transparent and will share all information with the young person.

Advocacy Referral for Professionals

Please Note:

Before Making This Referral, Please Note:

What Next?

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Advocacy

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