Self Referral Form

To access our services:

  • Please complete the following form as accurately and fully as possible, so we can properly process your referral and ensure you receive support which aligns with your needs.
  • Behaviours must be identified by our team as CPA rather than typical boundary-pushing behaviour experienced by most parents.
  • We must have consent to access information from professionals you're working with (to withdraw your consent at any point, please email admin@pegsupport.com, please note this will mean we are no longer able to offer support).
  • If you have not heard from us within 4 weeks of submitting your referral please contact us at admin@pegsupport.com


Your information:

  • Will be kept strictly within the PEGS team.
  • The only exception to this is when a safeguarding referral has to be made in line with statutory safeguarding procedure. Where possible, we will notify you prior to the referral being made.
  • In other circumstances (such as where an external partner is running a workshop or programme), we will get specific permission from you before sharing your details with them.


Our expectations:

We also ask that you treat PEGS staff and volunteers with respect at all times, we are a small but very dedicated team who work incredibly hard to deliver the best services possible. Sadly, demand is always high so there may be a delay in us responding to you but we’ll always do our best to reply as quickly as we can. Dealing with rude and disrespectful behaviour not only negatively impacts the team, it can also disrupt services and therefore impact you and the other parents we support.

Share by: