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1. Referrer & Placing Authority Details
2. Parent(s) Details
3. Child(ren) Details
4. Reason for Referral
5. Support Needs
Daily routines
Housing transition
Emotional regulation
Domestic abuse recovery
Health appointment support
Education/Nursery liaison
Mental health or substance use support
Cultural or religious considerations
6. Current Risk Profile
7. Desired Outcomes
8. Documents Required for Placement Consideration
Referral form
Care Plan
Chronology
Last parenting assessment
Risk assessment
Signed consent (if needed)
Court orders (if relevant)
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Submit Referral