The Small Project Referral Form
CORONAVIRUS: Pre-made bundles of clothes and equipment can be collected by families/referrers on Thursdays by arrangement.

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If you're a social sector/health professional and you'd like to make a referral to The Small Project please fill in the form below. 

Self referrals are welcome, please input self referral in the questions relating to professionals detail questions 

You can contact Charlotte with any queries at: thesmallproject@oasiswaterloo.org or 07456 680037. We'll normally get back to you within a week to update you on the progress of your referral. This can be longer at busier times.

By filling in this form, users are consenting for data to be held by Oasis Hub Waterloo for necessary operation of the service.

We are located at the Oasis Play Space SE11 4TU. Unfortunately the Small Project is unable to deliver bundles. Please take into account the distance the service users will need to travel in order to pick up bundles.

Finally, note that at The Small Project we can speak Spanish. If you are referring a service user who does not speak English or Spanish and are unable to pick up the bundles on behalf of the Service user we will try our best to communicate with them, please let us know the level of English and which language they speak if appropriate in the "any other relevant information about the family box".        
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Advisor's Info
Name of Organization *
Name of Advisor *
Advisor's Telephone Number *
Advisor's Email Address *
Service User Info
Service User's Name (Parent/Carer) *
Service User's Telephone Number *
Service User's Email Address *
Service User's Post Code and Borough *
Date of Birth of Service User (Mum, Dad, or Carer) *
Number of Children (aged 0-10Years) Requiring Clothes *
Clothes Size and Gender Needed *
We will prepare a bundle of clothes to collect eg. 6-9mth girl or 2-3r boy (our clothes sizes are: newborn+0-3mth, 3-6mth, 6-9mth, 12-18mth, 18-24mth, 2-3yrs, 3-4yrs, 4-5yrs, 5-6yrs, 6-7yrs, 7-8 yrs, 8-9yrs, and 9-10yrs
Any specific clothing/equipment needed *
Collection: Collection is from Oasis Playspace on Thursday mornings. Please let us know if the family or the referrer will collect *
Reasons for Referral
Any Other Relevant Information About the Family that Will Aid the Referral (E.G language, health issues, etc)
Feedback
Any feedback, comments and questions are welcome .... Thank you!
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