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Referrals can be made for a variety of reasons including, you are working with a young person who has indicated that they would like to access the group, further information or the services that we deliver.

We aim to review referrals within 3 working days and reply within 7 days. Where sufficient contact information is available to contact the young person directly and it is appropriate we will do this. Each referral will be considered individually and in accordance with our policies and procedures. We will only pass information back to the person making the referral where this is appropriate and necessary.

If you would like to refer a young person to us, please fill in the form below.

Referrer's Name (required)

Referrer's Email (required)

Referrer's Phone No (required)

Referrer's Organisation (required)

Name of Young Person Being Referred (required)

Young Person's Email (required)

Young Persons Phone No (required)

Young Persons Age (required)

How did you hear about us?

Why are you referring the Young Person?

Does the Young Person have any specific needs that we should take account of so that they can access the group?

I confirm that I have the Young Person's full permission to pass their details and make this referral to Out & Proud Cardiff.

I confirm that there are no immediate safeguarding issues that have not been addressed concerning the Young Person I am referring

By submitting this form, you confirm that you have the permission of the young person to pass their details and make a referral to Out & Proud Cardiff.

Your referral will be dealt with in accordance with our Document & Policies.

I accept all of the above Terms:

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