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 About you  
 Complete the form providing as much information as possible. If you don't know the answer to a question, or it isn't relevant, leave it blank.

If you prefer, you can download and submit a paper referral form.

You can also call 020 7527 7400 at any time.




  Privacy Statement – Information for parents and young people 

London Borough of Islington will handle the information you have provided in line with the provisions and requirements of the General Data Protection Regulation and the Data Protection Act 2018. Any personal information will be held in confidence with only the necessary people able to see or use it. This referral is made to a multi-agency front door and therefore partners from Health, the Police and commissioned services contracted by Islington, may see the information in this form for the purpose of ensuring the right service is provided to your child(ren), young person or family.

Islington has a statutory duty under the Children’s Act 2004 to work with partners to provide and improve services to children and young people in the area. Therefore, Islington may also use this information for these purposes and may share this information where necessary with other organisations responsible for administering services to children and young people.

The full details on how Islington will process your information can be found on our website