Youth Service: professional referral for help and support

What happens to my information?

Denbighshire County Council collects your personal information to provide you with services relevant to your request.

For further information about how we handle personal information, please view our privacy notice.

This form is for professionals in schools and other agencies. Please complete your details and we will contact you to discuss what help and support may be available from Denbighshire Youth Service.

* indicates a required field.

Referrer's contact details
Your contact details as an employee of a school or agency.
Your first name
Your last name
Name of your school or agency
Your job title
Work email address
Phone number
Address of school or agency
Comments
Is there anything you'd like to tell us before we contact you?