The James Brindley Foundation - Make a Referral

Please provide as much detail as possible within this referral form to ensure the young person you are referring has access to the most appropriate support from the James Brindley Foundation.

    Referrer









    Young Person





















    Please note: All information included in this document will be held by the referral team until 7 days after completion of intervention, unless stated otherwise. All cases will be closed after 7 days if no contact is made by referrer prior to the beginning of intervention.


    We believe that, when everyone accepts personal responsibility for those around them, inevitably, violence will be reduced and ultimately, lives saved.”

    Mark Brindley.

    If someone's life is in danger dial 999

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