YOUNG PERSON SELF-REFERRAL
Ask UTurn for Support
This form is for you to tell us what is going on.
Tell us a little about what has been happening and what you feel might help. You don’t need to know exactly what support you need before getting in touch.
START YOUR REFERRALYOUR FORM • YOUR VOICE
You Can Complete This Yourself
The form has three short steps and you do not need to have all the answers.
If you would feel more comfortable having some help, you can ask a parent, carer or another trusted adult to complete it with you.
YOU DON’T NEED TO HAVE IT ALL WORKED OUT
Not Sure What to Say?
That’s OK. You can simply tell us what has been going on, how things have been for you and what you would like to be different.
The information you give us helps the UTurn team understand your situation and consider what might be helpful next.
BEFORE YOU START
What Will We Ask You?
About You
Some basic information so we know who you are and how to contact you.
What’s Happening
Tell us anything you think is important about what you have been dealing with.
What Might Help
If you have an idea of what would make things easier or better, you can tell us.
Some questions are optional. If you don’t know an answer, that’s OK.
THREE SHORT STEPS
Your Referral Form
Answer what you can. Fields marked with an asterisk are required and other questions are optional.
AFTER YOU SEND THE FORM
What Happens Next?
01
You Send It
Your form is sent to the UTurn team.
02
We Read It
Our team looks at what you’ve told us.
03
We’ll Be in Touch
We may contact you to find out a little more or talk about what could happen next.
YOU CAN TALK TO US FIRST
Want Help With the Form?
You don’t have to complete the form on your own. You can contact UTurn first, or ask a parent, carer or another trusted adult to help you.
If you are in immediate danger: call 999 or speak to a trusted adult straight away. UTurn is not an emergency service.