24hr Domestic Abuse Helplines:Herefordshire & Shropshire: 0800 783 1359Telford & Wrekin: 0800 840 3747Worcestershire: 0800 980 3331
24hr Domestic Abuse Helplines: Herefordshire & Shropshire: 0800 783 1359
Telford & Wrekin: 0800 840 3747
Worcestershire: 0800 980 3331

West Mercia Women’s Aid
Request for CDAS service

Referral Form Children & Young People

Please complete all sections as fully as possible to enable us to process this referral appropriately.  Any incomplete information may result in a delay. Please note that some questions are for monitoring purposes only and will not be used to determine eligibility for support.

Request for CDAS service

Please read this carefully and use this temporary referral form during the COVID19 period.

Please be aware that we are not currently running face to face support groups for children and young people and are unable to offer face to face 1:1 appointments at this time. If you are referring to our usual groups – Helping Hands, CRUSH and Recovery Toolkit then please note that we are unable to confirm when these will be starting again due to the COVID19 restrictions and government guidelines.

You can use this form to refer to our usual services but please be aware that we may only be able to offer ‘keeping in touch’ support with families at this time until our usual groups and face to face support resumes.

We thank you for your understanding and patience and we hope to resume our usual support packages as soon as is safe to do so.

Please complete the form bellow

Please note 1:1 support is offered to those who cannot access group support; the wait for 1:1 support is slightly longer due to capacity. Please specify why the child/young person needs 1:1 support: The CDAS team may assess the child or young person to be better suited to a different service than initially referred for.

How did you hear about us?

Thank you for your referral. Once the team receive and process the referral the child or young person will be placed on a waiting list for a support. We may need to contact you to obtain any further information. We aim to offer the support as quickly as possible, while also ensuring the child or young person is offered the most appropriate support package for them. Please provide the family or young person with a CDAS service leaflet which contains WMWA contact details should they wish to contact us.

Please be aware that the CDAS team work term time only and should referrals be sent during the holidays they will be processed once the team returns to work.