Get (a) Referral Form - Focus Ireland

Filling out the Referral Form for Focus Ireland is an essential step for professionals referring a young person to the Aftercare Support and Settlement Service. This guide provides clear instructions on how to effectively complete each section of the form to ensure that all relevant information is included.

Follow the steps to successfully complete the Referral Form.

1. Press the ‘Get Form’ button to access the Referral Form and open it in your chosen editing tool.
2. Begin by entering the referral agency information. Fill in the name, address, and telephone number of the agency. Additionally, provide your name, position within the agency, and the date of the referral.
3. Indicate whether the referral is voluntary or statutory by selecting the appropriate option.
4. Proceed to the applicant details section. Enter the applicant's name, address, gender, date of birth, country of origin, and status details.
5. Provide the present address and phone number of the applicant, along with their Personal Public Service number.
6. Fill in the length of time the applicant has been at their current residence and the length of time they have been in care.
7. Complete the care status, date of last review, and date of next review.
8. Provide next of kin details, including their names, addresses, telephone numbers, and the frequency of contact. This includes the mother, father, legal guardian, and any significant family members.
9. Describe the applicant's background, including events that led to their move into care and previous placements. Include details about the name, address, dates, and reasons for any previous placements.
10. In the health section, answer questions regarding any serious health problems, special needs, mental health issues, and current medications. Provide details about how the applicant manages their medication.
11. Incorporate information about the applicant's patterns of behavior, including any substance dependency issues, violence history, or criminal convictions.
12. Cover the education details, listing primary and secondary education, courses attended, and work experience, including the name, address, dates, and exam outcomes.
13. Enter contact details for relevant professionals involved with the applicant. This may include key workers, probation officers, youth workers, and any other professionals.
14. Finally, answer questions aimed at the referrer regarding your working relationship with the applicant, their priority needs, expectations of Focus Ireland's services, and ongoing support your agency can offer.
15. Ensure that both the applicant and referrer provide their signatures and dates at the end of the form to confirm the accuracy of the information provided.

Complete your Referral Form online today to ensure timely and effective support for the young person.