Local Authority Kinship Connected Referral Form

Page 1



All one-to-one support referrals for this area have been received at this time. However, you can still refer carers for Kinship Membership Advice support using this form. If you require further information, please get in touch with your Kinship contact or email kinshipconnected@kinship.org.uk.

Commissioning of this programme has come to an end. We are currently awaiting a decision on whether this service will be recommissioned. We are unable to receive new referrals until then.


If you require further information, please get in touch with your Kinship contact or email kinshipconnected@kinship.org.uk.
Please note only carers with a Special Guardianship or Child Arrangement Order are eligible for support on our Kinship Connected Programme however they can be supported via Advice for which a case will be created
Kinship Connected is not currently available in this area. However, you can contact our advice service for support via our online form or on 0300 123 7015.

Please use the link above or call us and do not continue with the form.
Consent permissions
I confirm that the carer being referred to Kinship Reach has given their consent for me to share their contact information with Kinship and consented for a Kinship staff member to contact them directly.  

Data protection
Kinship is committed to making only responsible use of your data, including securely storing your data. We will not share your data with any third parties. For further details, you can view our Privacy Policy: https://www.kinship.org.uk/privacy-policy

Page 2


Referrers Details









Carer's Information






































Kinship is committed to making only responsible use of your data. The information you share with will only be used to respond to you directly by our experts. We will not share your data with any 3rd parties. For further details you can view our privacy policy at https://www.kinship.org.uk/privacy-policy


By pressing submit, you are confirming that you have consent to add this kinship carer and for us to contact them.

Family information

Kinship carer information











Kinship child/children information





Support around the family





Reason for referral


Safeguarding - Not part of the standard questions. To be completed by project workers.









Please provide details of the risk or concern





By current we mean an active ongoing risk where individual(s) are currently subject to risk. Historic refers to historic risks that are no longer an active threat (e.g. the perpetrator of the risk is incarcerated).