By 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 Westminster.
- you as the referrer 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. The information provided in this referral will be held in confidence but may be shown to the family if requested. Where a family has agreed to our support, we will ask them to sign our privacy notice.
You can find our Privacy Notice here for reference.