Referrals

    Your Details

    Your Name: (required)

    Your Email: (required)

    Job Title:

    Company / Organisation

    Telephone: (required)

    Child/Young person's details

    Child / Young Person's Name: (required)

    Gender:

    Date of Birth:

    Legal Status:

    Length of Time in Care:

    When is the placement needed from?:

    Reason for Referral:

    LA Contact Details

    Contact Name:

    Job Title:

    LA:

    Address:

    Telephone:

    Email: (required)

    All referrals are considered on an individual basis and following:

    • Pre-Admission Assessment - of our ability to meet the needs of the young person.

    • Impact Assessment - taken into account are the needs of the young people already living within the particular home for which the young person is being considered.

    Admission to Harmony House is a planned process to be achieved over a two week period. However, Harmony House can offer same day placements within its emergency / short-term resources.





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