IMPORTANT

THIS FORM IS TO BE COMPLETED BY:
A PROFESSIONAL ONLY

You must complete all relevant sections to submit this
referral form; you will be guided through the process.

You cannot save this form; it must be completed in
one session, or you will lose your progress.

PLEASE NOTE!

You are processing a referral for a "Cared for Child" or "Looked after Child" please note that this type of referral can only be completed by a healthcare professional.

If you are looking for the #Thrive or RISE programmes, please STOP, these are physical drop-in services, Instead visit the respective links below for more information as a referral cannot be processed via this referral form!

for #Thrive, visit 

https://www.penninecare.nhs.uk/thrive

for RISE, visit

https://earlybreak.co.uk/rise-face-to-face-bury

IMPORTANT!

I'm afraid being {age} years old, we cannot process
your referral online.

Please call us on 0161 723 3880 and speak to a team member.

Please do not continue this form!

IMPORTANT!

Hey there! I’m really sorry, but we can't process this referral since
you’re {age} years old. The Cared for Children Service in 
Oldham has an upper age limit of 25.

Please call us on 0161 723 3880 and speak to a team member.
We will help direct you to a more suitable support service.

Please do not continue this form!