This referral form is for any Primary 6 or 7 child who requires counselling or art therapy support and attends primary school in Fife or is home educated in Fife. Those who are home educated should have this referral completed by their parent/carer or other adult who supports them.
Please remember this referral is for counselling. It is not an emergency or crisis service. If the young person is expressing a wish to die and says that they have a plan of what to do, you must ensure that they are seen urgently by CAMHS or attend the local Emergency Department
https://girfec.fife.scot/__data/assets/pdf_file/0034/187792/Self-Harm-Guidance-Sept-2017.pdfHOW TO SAVE ONLINE FORMS
When you submit this form a copy of the form will be automatically sent back to you. To save this please click on the print icon that will appear on your screen.
Use the dropdown box as that contains the link to your printer and select SAVE AS PDF.
Once selected hit the save button, and save and name the document to where you would like to store it or alternatively save it to your desktop and it can be moved/transferred from there into the client file.
Please read the options carefully and select only one from the options below. This will indicate what DAPL work stream the young person will be seen under.
Additional Guidance:
Summer Term 2024- Please do not refer those in Primary 7 through this route. Due to the existing waiting list pressures we will not manage to see them within this term. Please advise the high school guidance teacher that a referral may be required.
