Get Referral Form - Jigsaw.ie

Filling out the Referral Form for Jigsaw.ie is a crucial first step in connecting young individuals with necessary mental health support. This guide provides clear instructions on completing the form online, ensuring that users can easily navigate each section.

Follow the steps to successfully complete the Referral Form.

1. Press the 'Get Form' button to access the Referral Form and open it for completion.
2. Begin with the 'Young Person details' section, where you will need to input the young person's full name. Ensure the name is spelled correctly and accurately reflects the individual's preferred name.
3. Next, proceed to the 'Parent/Guardian(s) details' section. Enter the name of the parent or guardian, as well as their contact information, including a phone number and email address. This information is crucial for communication regarding the referral process.
4. In the 'Next of Kin' section, if applicable, provide the name, address, and contact details of an additional emergency contact, along with their relationship to the young person.
5. Complete the 'G.P. Details' section by including the general practitioner’s name, address, and contact number. This helps ensure coordination of care.
6. Fill out the 'Referrer’s details' section with your name, address, contact number, and your relationship to the young person. Additionally, provide a signature to confirm your referral.
7. Answer the question regarding whether the young person is aware of this referral. This helps respect the young person's privacy and consent.
8. In the provided open-ended sections, articulate what the young person hopes to achieve through attending Jigsaw and describe the support you believe Jigsaw could offer. This information is vital for tailoring the support to their needs.
9. List any support agencies or community services already involved with the young person, such as CAMHS or social services, in the corresponding section.
10. Summarize the nature of service provision that has already been engaged with the young person. This provides context for those reviewing the referral.
11. Address any relevant medical or other details, especially those concerning risk to the young person or others. This helps in assessing the immediate needs and safety.
12. Indicate whether another language is spoken at home and, if so, specify which language. This information may help in accommodating the family’s language needs.
13. Confirm whether you will continue contact with this person after the referral.
14. Have the young person sign and date the form. If they are under 18 years old, it is important for the parents or guardians to also sign and date the form to provide consent.
15. Finally, review the completed form for accuracy and completeness. Save changes, download or print the form, or share it as necessary to complete the submission process.

Begin the process now by filling out the Referral Form online for prompt support.