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Young Persons Referral

Is this an appropriate referral for DAPL?

Use the referral screening matrix below to ensure the young person fits our criteria. The initial presenting issue may hide the wider details. Please ask directly if any of the co-occurring issues are noted as a factor when placing a referral.

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REFERRAL CRITERIA SCREENING

Affected by own or anothers substance used

We will only use the personal information you provide in this form to respond to your request. We will not use these details to contact you for any other purpose and your details will not be shared. Your personal information is kept secure and confidential and is stored according to the DAPL records retention policy. For full details and contact information see our Privacy Policy.

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