Online form
To refer a Young Carer, you can use the online form below.
Word form
Alternatively, you can download the form in Microsoft Word format.
To submit the Word version, email it to Young.Carers@thecarerscentre.org.
Additional Documents and help
With either form, you’ll also need the Fair Processing Notice PDF. We also have Referral Guidance available.
If you would like to discuss a referral or have any questions about the form, you can call the Young Carers Team Manager on (01273) 746 222 for more information.