Referral Form

The child needs to be referred before their 19th birthday and anyone, including families, can refer a child. Please complete the form below and don't worry if you don't have all of the information to hand immediately.  We can collate this at a later date. 

Download our editable pdf referral form here and send it to us care@martinhouse.org.uk or print it out and send it to us at Martin House, Grove Road, Boston Spa, LS23 6TX.