IMPORTANT

THIS FORM IS TO BE COMPLETED BY:
THE CHILD/YOUNG PERSON, PARENT/GUARDIAN OR PROFESSIONAL

 We can only work with a young person with their full, informed consent.
Please complete this form once you have already obtained this

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.

What to expect from the service

RISE offers focused emotional health and wellbeing support for children and young people who may benefit from short-term, therapeutic sessions. Support is usually offered on a one-to-one basis, though we can explore reasonable adjustments where this helps a young person feel safe and able to take part.

RISE may be suitable where a young person can engage with support around areas such as anxiety, low mood, confidence, emotional regulation, school-related worries or emotional wellbeing. The service can work alongside other professionals, but it does not replace specialist services such as CAMHS, medical care, education services or legal advice.

If RISE is not the right fit at this time, this does not mean the young person’s needs are not important. It simply means another type or level of support may be more appropriate. Where possible, we will be clear about this and help signpost to suitable support.

Read the full service guidance in a new window

Callback Responses

Referrals will be screened to ensure we are the most appropriate service for the needs of the young person. If we feel that another option may be more suitable, we will contact you to explain this.

We aim to respond to all referrals within 14 days 
of this form being submitted where appropriate, you will receive
a phone call to arrange an assessment appointment. This may be sooner, depending on our team’s availability
and appointment capacity.

It is important that you respond to this phone call on the same day
or this may result in a new referral being required. 

IMPORTANT: If a child or young person is at
immediate risk of harm or requires an emergency
response, please call 999.

This referral form should not be used for emergencies’

Referrals from Professionals

Professionals making a referral are responsible for addressing safeguarding issues, managing risk and submitting any additional referrals needed before submitting a RISE referral.

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. RISE has an upper age limit of 18.

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!