Referral Form Referrals can be made by phone, email or online. You can refer a young person, or make a self-referral, to Just for Kids Law by filling in the referral form below. Alternatively, you can telephone the office on 020 3174 2279 and speak to our New Client Enquires manager Monika. You can also email firstname.lastname@example.org. We endeavour to respond to all new client enquiries, and assess whether we can assist, within 3 working days of receiving adequate referral information. In instances where we do not receive adequate referral information, we may need to contact referrers back for additional information before we can assess whether we can assist.Is this a self-referral, or are you referring someone else to Just for Kids Law?*Self-referralReferring someone elseReferrer (if applicable):Use this section if you are referring a Young Person to Just for Kids Law. If you are making a self-referral, please select 'self-referral' above and skip to the next section. Please make sure that you have the Young Person’s consent to share their personal information with us and that they are aware of this referral. Your name*Your relationship to the Young Person*Your phone number*Your e-mail address* The Young Person (YP)Questions in this section concern the young person who is being referred (henceforth 'YP').Full name of the Young Person (YP)*YP's Date of Birth* YP's phone number*YP's email address* YP’s ethnicity (please leave blank if YP prefers not to share)Does YP have a disability*YesNoPrefer not to sayPlease provide some information about the disability: (500 characters max)*The borough or location where YP lives*Barking and DagenhamBarnetBexleyBrentBromleyCamdenCroydonEalingEnfieldGreenwichHackneyHammersmith and FulhamHaringeyHarrowHaveringHillingdonHounslowIslingtonKensington and ChelseaKingston upon ThamesLambethLewishamMertonNewhamRedbridgeRichmond upon ThamesSouthwarkSuttonTower HamletsWaltham ForestWandsworthWestminsterOtherIf 'other', please name the location*Does YP receive any form of benefits?*YesNoNot sureIs YP being supported by other organisations (i.e. children services, solicitors, advocacy services)?*YesNoNot surePlease provide details of the other organisations YP is receiving support from: (500 characters max)*Is YP any of the following?* A Looked After Child A Care Leaver On the Child Protection plan A Child In Need None of the above Not sure Please select all that applyPlease provide a brief summary of the case (max 1000 characters)*Please include any relevant dates of meetings/hearings etc.Please tell us what type of support you think we can offer? (1000 characters max)*SafeguardingJust for Kids Law follows safeguarding best practice. If we become aware of any information which leads us to believe someone will be at risk of significant harm we will take this forward in line with our safeguarding policy and may contact social services to share these concerns.NameThis field is for validation purposes and should be left unchanged.