Self Referral Form

If you are a professional wishing to referrer a child or young person, please complete the Professionals referral form Professional Referral Form | Brave Futures

Taking the first step can feel difficult, and reaching out for support takes real courage. We are here to support you every step of the way. By sharing some information with us, we can better understand your needs and help connect you with the most appropriate support. You can choose the option that feels most comfortable for you:

Submit a self-referral request

A member of our dedicated team will contact you within two working days (48 hours) to talk through your situation and explain what happens next in a safe, respectful, and confidential manner. During this conversation, we will gather the remaining information needed to complete your referral, which will then be reviewed for acceptance.

Please find the Self Referral Request below

Complete the full self-referral form

If you would prefer, you can complete the full self-referral form at your own pace. Once submitted, your referral will be reviewed by a member of our dedicated team for acceptance.

View the Full Self Referral Form

Please note: Submitting a referral request or self-referral form does not guarantee acceptance into the service. All referrals are reviewed to ensure we can provide the most appropriate support for your needs.

Please complete one referral per child / young person being referred