Referring For Early Intervention Support at The ClementJames Centre

Thank you for taking the time to fill out this referral form. If you need support filling out this form, please contact or give us a call on 020 7221 8810.

If you would like to discuss the case further before making a referral, please email or give us a call on 020 7221 8810.

Please note:

The Early Intervention Support service is available to children and young people in Year 1 to Year 11, who either live in or attend a school in Kensington and Chelsea or Westminster.

We do not provide Early Intervention Support at an independent review panel stage.

This service is in high-demand and referrals will be prioritised based on level of need. You will usually get a response within one week from submitting your referral.

Privacy Notice

Who We Can Support

If the young person does not fit our criteria but you would like our help to find an organisation who can support them, please contact or give us a call on 020 7221 8810.
We also have criteria that clients need to meet to access support. At least one of the following means that the young person is able to access support at the Centre.

Please select any of the following that apply to the young person:

Your Details

It is helpful for us to have your details, should we need to contact you about this referral.

Young Person's Educational Information

The following information will allow us to offer appropriate support to the young person being referred. Please give as much information as possible as this information will be used to prioritise referrals.
Is the young person at risk of exclusion or have they already been excluded?

Young Person's Educational Information Continued

Young Person's Details

Please only give us the following details with the parent/guardian's explicit consent and after they have read and agreed to our privacy notice.

Guardian Contact Details

Please provide details of the young person's emergency contact:

Accessibility Needs

Professional Involvement

Contact Details
If they consent to their contact details being shared with us, please provide details for the primary professional the young person is working with below (unless this is yourself):

Submit Your Form

Please submit the form below.