Initial professional's enquiry
Please note: When completing the form, select the 'Previous Page' button to go back a page and not the 'Back' button at the top of your browser.
If you cannot fill in any of the mandatory fields please contact the Staffordshire Childrens Advice and Support Service for advice:
Phone: 0300 111 8007
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Please contact the First Response team for advice:
Phone: 0800 1313 126
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Please ensure that your document is in Word and not PDF format and not handwritten.
This information will need to be legible to inform the referral you are making and so we can input the information into our electronic system.