IThrive 2 – 19 years Referral Form

1. Details of the Person being Referred

2. Nature of Referral

Reason for referral If possible, include the intended outcomes of the referral and the service you think will best support the child/family.
Include if under a child protection plan or whether Looked After.

3. Details of the Referrer

Consent is given to share information with Bolton Together and wider agencies offering support for EHWB. Consent must be given before referring.

The IThrive Programme is supported by NHS Bolton Clinical Commissioning Group, NHS Bolton Foundation Trust, and The National Lottery Community Fund.

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