Advocacy Referral

• Are you a young person under the age of 25?
• Do you have Special Educational Needs or Disabilities?
• Would you like some help from our Advocacy Service?

Or

• Are you the parent/carer of a child/young person with SEND?
• Are you a professional who works with a child/young person with SEND?

Use this form to get in touch with us.

Name *

First

Last

Email *

Phone Number

How would you prefer us to contact you? *

• Email
• Phonecall

I am: *

• Child or Young Person (aged 0 – 25)
• Parent/Carer of the Child/Young Person
• Professional on behalf of the Child/Young Person

Why are you getting in touch with the Children and Young People Advocacy Service? *

(Write as much detail as you feel comfortable with)

I consent to the CYP Advocacy Service contacting me using my preferred method: *

• Yes
• No

Submit