Integrated Early Years Service - Referral

    This form should be completed by anyone who is looking to make a referral to the Early Years service.

    The outcome of this referral will be tailored differently for each individual child and family to meet individual needs. This could include being signposted to one of our support groups, to training, our SEND helpline, SEND forum or through a bespoke support package.

    For general setting or provider advice please contact your named cluster team members directly. There is no need to complete this referral form.

    Privacy & disclaimer statements

    • The information that you provide today will be processed in accordance with Data Protection legal requirements.
    • To find out more about how we process your personal information please read the Children's Services Privacy Notice.
    • Further information can also be found within Dudley Council's Corporate Privacy & Disclaimer statement.
    • The information you supply on this form will be used by DMBC Integrated Early Years' Service for the purposes of processing your application, monitoring, and evaluating the service and measuring outcomes. Data may be shared with relevant departments within Dudley MBC, relevant government departments as necessary, and Early Years and Childcare Providers.