Support Services

Refer yourself

We are only accepting referrals for the boroughs of Barnet, Brent and Harrow.

First Name

Surname

Gender

Phone Number

Email Address

Which borough do you live in?

Address line 1

Address line 2

Town

City

Postcode

Parent’s date of birth

Parent's ethnicity

Which of the following applies to you/your family? Tick any that apply

Currently pregnant

New baby (0-12 months old)

Young children (1-5 years old)

Older children (6-19 years old)

Name and date of birth of child(ren), if applicable

Please describe as fully as possible the reason(s) that you would like Home-Start support.

How did you find out about being able to self-refer to our organisation:

If selected 'elsewhere', please specify

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