We accept referrals from professionals, parents, carers, and families for children and young people aged 3–18 who have been affected by the death of, or the terminal illness of, someone important to them, where the prognosis is 12 months or less. We also accept self-referrals from adult family members closely connected to a child or young person referred to our service.

How to access support

As much as we would love to be there for everyone, we do have some criteria for accessing our support. Before submitting a referral please check the eligibility criteria document to ensure the child or young person meets our referral requirements, and then complete the correct online form from the list below. 

Important Information: Fields marked with an * are mandatory and must be completed before the form can be submitted.

Please provide as much information as possible when completing the online referral form, as incomplete information may delay the referral process or result in the referral not being accepted.

If you are referring more than one child or young person, please complete a separate referral form for each individual.

Get in touch

If you have any questions or would like to talk things through before making a referral, please do get in touch. Calling us is usually the quickest way to get the information you need, as it avoids delays from back‑and‑forth emails. 01636 551739 or send us an email.

Child referral form from a parent/carer. (One form for each child or young person please)

Child referral form from a professional. (One form for each child or young person please)

Adult self-referral form Important Note: Adults MUST be closely connected to a child or young person referred to our service and refer themselves. (We do not accept referrals for adults submitted directly by professionals. However, a professional may support an adult in completing and submitting the referral if assistance is required.)

Thank you

If your referral is due to bereavement through suicide the Children’s Bereavement Centre can help but if the loss has been within the past 12 months, please in the first instance contact The Tomorrow Project at:

Email: [email protected]

Website: https://harmless.org.uk/support-available/