Welcome to the Community Health Assessment Team (CHAT) Referral page.
It is important that you complete the CHAT referral form if you wish to access the CHAT assessment service. Please answer all the questions in the form as this will help the CHAT team to make appropriate recommendations for your referral.
This form will take about 15-20 minutes to complete; you may wish to find somewhere private to complete it.
Upon completion, all the information provided in the form will be treated as a confidential reference and submitted to firstname.lastname@example.org.
Upon receipt of the form, our CHAT intake team will contact you within 3 working days to follow-up on your referral. If a CHAT assessment is offered, our CHAT intake team will also schedule an appointment for the referred young person.
For more information about the CHAT assessment service, please click here.
To start making a referral, please choose one of the following options:This CHAT referral is for…