DISCLAIMERBy submitting this form, you are confirming that:- the information provided is correct to the best of your knowledge- the referral has been discussed with the family, who have agreed to a referral being made to Home-Start Southwark. - you as the referred and the family, agree for your details to be stored in our database in accordance with data protection legislation (see our Privacy Notice).
You understand that we can only accept referrals which have been discussed with and agreed by the family. As such we will use the information provided in this referral to make an initial contact with the referred family and ask them to review and sign our privacy notice prior to any support being provided.
You can find our Privacy Notice here for reference.