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Referral Form

Thank you for choosing to make a referral to NYAS. We value each and every referral so that we can make a difference to children, young people and some adults. In order for us to respond quickly to your referral, please take note of the following:

This system of referral has a high level of information security…. All information entered onto this form and sent to us, is done so through a secure server connection using the Secure Sockets Layer (SSL) protocol. This allows your browser to encode any data it sends to our server, so that even if someone intercepted your information as it travelled across the Internet they wouldn’t be able to read it.

If you would like more information you can read up on SSL here – https://www.starfieldtech.com/

Please note, this referral form must only be used for Independent Visiting, Welsh Grants and Parent Advocacy Referrals.

Using this form incorrectly for services other than stated above will cause a significant delay with your referral. For all other services, please use our new Service Request Form by clicking here or by going to https://service-request.nyas.net

For Project Unity Referrals, please click here

Thank you.

Service Required:

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Meeting Type (if relevant):

Referrer's Details:

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Child or young person:




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Professional / Social Worker:

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Meeting



IRO Details:

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A responsible authority looking after a child has a duty to appoint a person to be a child’s independent visitor where it appears to them to be in the child’s interest to do so [section 23ZB(1)(b)]. The appointment should be considered as part of the development of the care plan for the child or as part of a review of the child’s case. Any decision not to appoint an independent visitor should be kept under review to make sure that the opportunity to appoint such a person is considered if the child’s circumstances change. The child’s wishes and feelings should be ascertained and the responsible authority may not appoint an independent visitor if the child objects and the authority are satisfied that the child has sufficient understanding to make an informed decision [under section 23ZB(6)(a)].