Make a Referral

We will be in touch within 24 hours

💾 Continue your saved referral?

1Choose your dates

2Pay the referral fee

3Tell us about your situation

Reserve your sessions

Plan your family time sessions

Allocate the slots you need

First — what are you booking?

📅

Family time sessions

Time together at our centre — supported or supervised

🔄

Handover service

We manage drop-off and collection at our centre, so parents don't need to meet

🏠

Community outreach

We come to the family's home — for Local Authority and professional referrals. No booking or payment needed here

Your handover days

How it works: you bring your child to our centre, and the other parent or carer collects them from us. You never have to see each other. If your child is coming back to you the same day, we do the handover in reverse too.

For each day you need, pick the date and the drop-off time, then tell us when your child is coming back — the same day, another day (a weekend stay, for example), or not through our centre. You can book up to 12 days here. Need more than that, a stay longer than a week, or something unusual? Call us on 01942 365888 and we'll sort it for you.

The earliest date you can pick is 7 days from today. Handovers can start once the other parent or carer has agreed and you have both signed our handover agreement — so the first one may take a little longer.

Step 1 of 3 — How many sessions

How many sessions are you looking to book? * (1–52)

Check your court order, or speak to us if you're not sure — 01942 365888

Step 2 of 3 — Choose how to select dates

📅

Same day each week

Sessions on the same weekday, starting from a date you choose

🗓

Choose my own dates

Pick individual dates one by one — useful if your schedule varies

Step 3 of 3 — Your weekly schedule

Start date *

Must be at least 14 days from today

Time *

Duration *

Your proposed dates

Available Limited spaces Full or nearly full To be confirmed

Step 3 of 3 — Choose your dates

Pick a date *

Pick each date on the calendar — it's added to your list automatically. Minimum 14 days from today; choose exactly — dates, then a time for each.

Session duration *

📅

Your proposed schedule

Reviewed and confirmed by a coordinator before any sessions are finalised

🔒 Reserving your schedule has a … referral fee. It covers the work of processing your referral and reserves your dates for 14 days while we review — it isn't payment for the sessions or handovers themselves. We review every referral carefully to make sure family time is safe and right for your child, and a coordinator will confirm your dates once that's done.

📞 01942 365888 | ✉ duty@accoladefamilytime.co.uk | 🕐 Mon–Fri 9:30am–6:30pm · Sat–Sun 10am–4pm

Pay your … referral fee

What your referral fee covers

It covers reviewing your referral and holding your preferred slots while we do. It is not payment for the family time sessions themselves — session fees are arranged separately, after your pre-visit.

Your … covers the work of processing your referral — reviewing it carefully and completing a safeguarding review — and reserves your dates for 14 days. Paying doesn't guarantee family time can go ahead: we make sure it's safe and right for your child first.

Your email address * We'll send your booking confirmation here.

Your phone number * In case our team needs to reach you about your booking.

🔒 Payments processed securely by Stripe. Questions about the referral fee? Call us on 01942 365888 — we're happy to talk it through.

✋

Before we take a payment — you already have a reservation with us

We found a reservation for that is still waiting for its referral form.

You have not been charged. What would you like to do?

Not sure? Call us on 01942 365888 and we’ll help.

✉️

You already have a reservation with us

We’ve just re-sent your form link to .

Check your inbox and spam folder — the link takes you straight back to your referral form. You have not been charged again.

Can’t find it? Call us on 01942 365888 and we’ll help.

✓

Schedule reserved — one step left

👇 Tell us about your situation below to secure your reservation (~15 min)

Ref

Schedule

Held for up to 14 days · a confirmation email has been sent to you.

What happens next

Tell us about your situation below

We'll review your referral

The other parent or carer will be contacted

About you

Child details

What's happening

Who is making this referral?

This helps us show you the right questions for your situation.

🏠

Parent or carer

I am a parent, grandparent, or carer seeking family time services directly

📋

Professional

I am a solicitor, social worker, Cafcass officer, or other professional making a referral on behalf of a client

🏠 Community outreach referrals come from a professional — a social worker, Local Authority team, or another professional working with the family — so we've set that for you.

📞 01942 365888 | ✉ duty@accoladefamilytime.co.uk | 🕐 Mon–Fri 9:30am–6:30pm · Sat–Sun 10am–4pm

About you

Tell us a little about yourself so we can get in touch.

First name *

Last name *

Email address *

Phone number *

Organisation / firm *

Your role *

Local Authority reference / purchase order number (optional — you can send it on later)

Your relationship to the child *

Does the child currently live with you? *

Yes No

Do you have parental responsibility for this child? *

Yes No

How did you hear about us? (optional)

Who are we contacting?

Assign consent to relevant parent or legal representative.

👨‍👧

Other parent or carer

The other parent, grandparent, or carer who would attend family time sessions

⚖️

Legal or professional representative

A solicitor, social worker, or other professional acting on behalf of the other party

ℹ️ We'll send them a notification email when you submit this referral to let them know we've been contacted and to ask for their participation.

Their first name *

Their last name (optional)

Their email address * I don’t have their email address No problem — the centre will follow this up. Add their phone below if you have it.

Their phone number (optional)

Their relationship to the child *

Does the child currently live with them? *

Yes No

Do they have parental responsibility for this child? *

Yes No

ℹ️ We'll contact this representative when you submit your referral to confirm their involvement and discuss the process.

Representative's name *

Role *

Organisation / firm (optional)

Email address *

Phone number (optional)

About the child

We only need basic details at this stage. Full case information will be requested separately.

Child 1

Child's first name * First name only — surname not required at this stage

Child's age *

Child's full address (optional) Helps us confirm we can support your area

Does your child have any additional needs? (optional)

Yes No Don't know

Which of the following apply? (select all that apply)

Health or medical Religion or culture Disability Gender Other

Service required *

🔒 You chose the handover service when you booked your handover days, so this is set for you. Call us on 01942 365888 if it needs to change.

Has a court or professional made recommendations for your child's care? *

Yes No Not sure

Do you have a copy of the recommendations? (optional)

Yes No Not yet

Case or client reference (optional)

Is a court order in place? *

Will a purchase order be raised? (optional)

Is the other party aware of this referral? *

Yes No Not sure

Don't worry — we'll help you think through how to approach this when we're in touch.

What is the Local Authority commissioning? *

An assessment only An assessment, with possible ongoing outreach

This tells us what to plan for. Either way, the assessment comes first — you'll receive the risk assessment report and delivery plan before any ongoing work is agreed.

About the property

Our worker visits the family at home, so a little about the property helps us plan the visit safely.

Property address *

Who lives at the property? (optional)

Any animals at the property? (optional)

Access and parking (optional)

Anything we should know to keep our worker safe? (optional)

What's happening

You don't need to go into full detail here — we'll ask for more when we're in touch.

What is the Local Authority asking us to assess? (choose all that apply)

Basic care

Ensuring safety

Emotional warmth

Stimulation

Guidance and boundaries

Stability

What is the current situation? *

Select all that apply… ▾

Family Context

Recent parental separation

Custody or residency dispute

Non-engagement by one party

Child refusing contact

Concerns about encouragement of contact

Court-ordered contact

Safeguarding

Domestic violence or abuse

Child protection concern

Safeguarding concern

Complexity

Mental health concerns

Substance misuse

Relevant criminal history

Other

⚠ You may want to add a safety note for this situation.

What outcome are you hoping for? (optional)

Select all that apply… ▾

Regular managed handovers (parents don't meet)

Regular supervised contact sessions

Rebuild parent-child relationship

Parenting capacity assessment

Transition to unsupervised contact

Court-ordered contact fulfilled

One-off or short-term contact

Indirect contact (letters or cards)

Professional assessment report

Other

How soon do you need contact to begin? *

⚠️ For urgent situations please also call us on 01942 365888 to speak to our team directly.

Please briefly explain why this is urgent *

Is it safe for us to contact you on the details you've provided? *

Yes No — please read below

If your communications may be monitored, please let us know so we can contact you safely.

⚠ Safe times to contact you

⚠ Safe method of contact

Email only Phone only Alternative number

⚠ Anything else we should know about contacting you safely (optional)

Will an interpreter be required? (optional)

Yes No Not sure

What language is needed?

Interpreter's name (if you have one arranged)

Their organisation or agency (optional)

⚠️ The interpreter must be an accredited professional. A family member or friend cannot act as interpreter.

Preferred contact method (optional)

Email Phone Either

✓

Referral received

Thank you for getting in touch. We've received your referral and will be in touch within two working days.

A confirmation has been sent to your email address. If you need to speak to us urgently please call 01942 365888.

Processing…

Your information is handled in accordance with our privacy policy

Your information is safe

We handle all referrals sensitively and in line with our privacy policy.

The child's journey through our service will begin within 7 days.

What happens next?

We check to see if we can meet the needs of the children with their safety and experience in mind.

We create a family-focused plan for the parent and the child.

Step-by-step guide from referral to pre-visit, discussion points and allocation of a Family Worker.