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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