Support for yourself
If you’d like some support for yourself, please click on one of the forms below depending on how old you are. Please ensure you’re in a safe space when completing it.
- Click here to get support for yourself and you are aged 18 or above
- Click here to get support for yourself and you are aged 11 to 17 years old
If you’re unable to fill in the form (e.g. written English is difficult for you), please give us a call on 023 8063 6312.
Please note, if your referral is progressed you will receive an email with a referral date and time. Please check all inboxes for communication as some correspondence can be directed to junk/spam inboxes.
It is important for us to stress that due to exceptional demand for our services, we are only able to offer one assessment appointment per person. We are unable to offer a reminder of your assessment so we advise keeping this email safe to act as a prompt for your assessment.
Support for someone else
When completing the form, please clearly state who you are before completing the other sections about the person you are referring. Please ensure to complete the form as accurately as possible.
- Click here to get support for someone else and they are aged 18 or above
- Click here to get support for a young person and they are aged 11 to 17 years old
Forms for children under the age of 11:
- Click here if you have legal parental/carer responsibility for the child you wish to refer
- Click here if you are NOT the legal guardian of the child you wish to refer
For Frankie Service (0-18 years) please scroll down.
Please note, if your referral is progressed your client will receive an email with a referral date and time. Please inform your client to check all inboxes for communication as some correspondence can be directed to junk/spam inboxes.
It is important for us to stress that due to exceptional demand for our services, we are only able to offer one assessment appointment per person. We are unable to offer a reminder of your assessment so we advise informing the person attending to keep this email safe to act as a prompt for their assessment.
Frankie Service Referral
If you would like to refer a child into the Frankie Service, please send all enquiries to frankie@hants.gov.uk or call 02380 636312
For further information on the Frankie Service please visit click here.
Please be aware
The forms do not save your progress as you go. A form can take up to 20 minutes to complete.
Our calls will come through on a Withheld Number. If you provided us with contact email addresses, please ensure to regularly check your inbox and junk mail folders for our emails.
Where you live might affect the support you can get from us, depending on funding availability.