Knowsley Youth Mutual (KYM) 'Me Time' Project - Referral Form 19/20
This referral form is designed to gather essential information.
Agreement to share information with KYM 'Me Time' Support Service must be obtained from parents and/or the young person.
Please complete a separate form for each young person being referred.
All information will be treated confidentially.
Once submitted, this form will be securely sent to the 'Me Time' Project manager for assessment.