Upbeat and Music United Referral Form

The information you enter into this form will be collected and stored by Community Albums as per our GDPR Data Protection Policy. If you want to read this, a copy can be found at:

www.communityalbums.com/policies

Referrer's Details

Please tick the boxes to confirm that:

Young Person's Details

Primary Carer’s contact details

If the young person named above is under 13 years of age, parents/carers need to be aware of the referral.

Primary Carer 1

The following boxes need to be completed in full for the referral to be assessed:

What happens next?

We will carefully review the information provided and contact the named referrer within two weeks of receiving this form to discuss possible next steps. While we aim to support as many young people as possible, we cannot guarantee that support will be available.

Declaration

I state that I have completed this information to the best of my knowledge and understand that by completing this form, the details I have provided above will be taken, saved and stored by Community Albums in line with our GDPR Data Protection Policy. I understand that a successful referral includes one to one support for a young person, and believe that this will be an appropriate support intervention for them.