Please use this form to make a self-referral to our Supporting Connections team.  Please provide as much detail as possible as this really helps us to be able to support you and your family.  It may be useful to gather all the information you need before you start the form as you will not be able to save progress.

We aim to respond to all requests for support within 10 working days but if you need urgent support please contact the Early Advice and Support Line on 0113 3783535.

If your family is in crisis, or you have a safeguarding concern then please contact your Local Authority Front Door services to access support

Bradford – 01274 437500  [email protected] 

Wakefield – 03458 503503  [email protected] 

Leeds – 0113 222 4403  [email protected] 

Calderdale – 01422 393336 [email protected] 

Kirklees – 01484 464848 [email protected]