Starting Point request for support form
If you are concerned that a child is suffering or is at risk of significant harm please contact Call Derbyshire on tel: 01629 533190 immediately.
To request early help services for Derbyshire children and young people please complete this referral form.
If you have made a verbal referral and have been advised to confirm this in writing, please complete this referral form.
Please note if you are aware the child already has an allocated MAT worker or Social Worker please do not fill out this form and liaise directly with the allocated worker.
Please do not fill out this form if your request relates to an immediate child protection issue as this email box is only monitored 8am-6pm Monday − Friday, please call 01629533190 if your concern is urgent.
Starting point Request for support form
Note: Asterisks (*) indicate required information.
If you experience any problems with this form please contact firstname.lastname@example.org and quote form ID: ILF/512/09