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Request for Support

Sometimes families or young people would like to access Wild Mane but feel unsure about how to begin the referral process. This page gives you a safe first step.


This form is not a referral, and it does not guarantee a place.


It simply lets us know that you would like support, and that you are giving permission for Wild Mane to contact your referrer to explain our process.


We can only accept referrals from recognised professionals such as SENCOs, GPs, Social Prescribers, Mental Health Workers, CAMHS, Education Welfare, Tameside Council teams, and other approved referrers.


If you would like us to speak to your referrer, please complete the form below.

Participant Details

Participants Date of Birth
Day
Month
Year

Referrer Information

Do you already have a referrer in mind?
Yes
No
Don't know

Current Support

Does the young person have an EHCP?
Yes
No
In Progress
Not Applicable
Do they have a School Support Plan / SEN Support plan?
Yes
No
In Progress
Not Applicable
Are they currently seen by (tick all that apply):

Reason for Request

Permission

Consent to contact your referrer
I give permission for Wild Mane to contact my referrer using the information I have provided, solely for the purpose of explaining the referral process.
GDPR understanding
I understand this form is not a referral and that Wild Mane will only accept referrals from recognised professionals.

Wild Mane processes all information in line with UK GDPR.


We only use the details you provide to contact your referrer and to help them understand the Wild Mane referral process. We will only share your information with the referrer you have named, and only when you have given us permission to do so for this purpose.


We do not share your information with anyone else.

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