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Find out more about Just Drop-In and have a read of our last few newsletters:

August 2019

May 2019

February 2019

November 2018

August 2018

May 2018

March 2018

November 2017

August 2017

May 2017

February 2017

November 2016

August 2016

May 2016

February 2016

November 2015

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February 2015

November 2014

August 2014

May 2014

February 2014

November 2013

August 2013

May 2013

February 2013

December 2012

Just Drop In Form

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    First name of young person

    Surname of young person

    Name of referrer (if different) Please note: we only take referrals directly from young people/families, not external organisations.

    Young person's DOB

    Email

    Tel

    Preferred Method of Contact

    Address

    Postcode

    School/College (if applicable)

    GP Surgery

    Service (please click inside box below to select a service)

    Does the young person know about and consent to the referral?

    Reason for referral

    Accessing another service?

    If yes, please provide name of organisation and referral reason

    Has the young person accessed a crisis service in the past 3 months?

    If yes, please provide details

    Is the young person waiting for an assessment with the Wellbeing Hub/CAMHS?

    If yes, provide details

    Household in receipt of benefits?

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    We will only use the data you have submitted to contact you in response to this form in accordance with our Privacy Policy.Click here to view our Privacy Policy

    Our duty to ensure your safety and the safety of others is paramount. If we believe you or someone else is at immediate risk of harm as a result of the information you provide in your enquiry, we may need to take additional action. If you are unsure, you can ring us and talk through our confidentiality policy.

    Please note, replies to this form will come from hello@justdropin.co.uk which might go into spam/junk folders. We will aim to respond to you within 5 working days. Please do not use this form in a time of crisis, and follow the time of crisis button on the website instead.

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