This form is for use by professionals who wish to refer a young carer to Carers Link for support.
Please do not use this form to refer anyone over the age of 18. Instead, please use the separate professionals referral form for adult carers.
As the form is online via SmartSurvey, your IP address will be automatically collected but won't be used to process the referral. SmartSurvey is GDPR compliant and their privacy policy can be found on their website.