Make a Referral
Referrals to our services in Harrow, Merton and Camden can be made using the secure online form links below. Referrals can be made by Schools, Health, Police, Statutory Agencies, Voluntary Organisations or a young person or their family can refer themselves.
We ask that you complete as much information as possible, in particular your Reasons for Referral outlining any concerns you have and any other interventions that have been carried out. We also encourage you to complete this form with the young person so they are aware of what information is being shared.
Once completed the form is securely sent to the WISH Centre and you will receive a confirmation email with 10 working days.
If you are a young person unsure if this is right for you please text in confidence Shanice Grant, Group Facilitator on 07534991931
Thank you! Please use the links to open the forms
Hard Copy Forms (to Download and email to email@example.com)