T: 01271 388162 | E: info@ysmart.org.uk

Referral Forms

If you would like to make a referral to our service please use the links to the relevant form described below.

Y-SMART referral form

  • If you want to refer a young person who is using substances, or if you would like to refer yourself because you think you need our help, please download this form and submit it to us by following the instructions on page two.
 
Y-PROJECT referral form
 
  • If a young person is in need of our help and support because of their parent's, carer's or sibling's drug/alcohol use, download this form and return it to us by the fax, post or email information at the bottom of the page.