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PLEASE FILL IN THE FORM BELOW TO REQUEST ADVICE AND SUPPORT

IF YOU DON'T LIVE IN GLOUCESTERSHIRE

We are unable to offer reduced cost services for families who live outside of Gloucestershire. If this is your situation then we request an initial agreement to fund 4 hours at £40 an hour, a total of £160, on the basis that any unspent money would be refunded.
Please ONLY fill in this form if you are happy to proceed on this basis. 
If you send us your details an Advocate will contact you to talk it through, and if they believe we can be of assistance, we would then need the agreed money before proceeding further. Depending on the complexity of the case there may be a need for additional funds, but that is agreed with you before any additional hours are worked.

REQUEST SUPPORT

Please complete this form, in as much detail as possible, to share your concerns and one of our Advisers will be in touch as soon as possible.

Support that we may be able to provide might include individual support for families, help preparing for and attending meetings with any agency supporting your child (assessments, reviews, planning meetings, child protection conferences, EHCP reviews, health care planning meetings etc); supporting you to make effective complaints; facilitating meetings between you and professionals to ensure effective communication; helping you through complex procedures, writing letters, putting across their views etc

Parent and Carer Alliance C.I.C. are recipients of funding from the National Lottery Community Fund which can reduce the costs of services that we are able provide to families who live in Gloucestershire, and whose children/young people have additional needs, so please answer our questions as this helps us to know if you will be eligible for this funding, or if we can offer other advice or support.

If the Advice Service is able to assist, you will be sent an email outlining the aim of the agreed support, who will be providing it, for how long, and any payments that you have agreed to make.

If you agree to make a financial contribution this will be needed in advance.

By completing this form you are not committing yourself in any way, you are just helping us to understand how best to help you and your family.

You will receive an email copy of this form once you have submitted it and we aim to be in touch to explain how we might help within 3 working days.

Click on the arrow to select. If you live outside of Gloucestershire you need to agree to self fund.
If there is a date soon that you need support for, such as a meeting or case conference please tell us here
Please give the number you can be easily contacted on
Please tell us where you live, as we may have funding to provide reduced cost services
Please tell us the best time(s) for an advocate to contact you to discuss your concerns

Please give some details of your concerns

Please tell us about why you would like advice and support and we will arrange for someone with the relevant skills to get in touch with you and find out more.

It would be useful to know what additional needs your child/young person has, what service(s) (e.g. education, social care etc.) are of concern and the type of issues that you have - failure to discuss/assess needs, failure to provide agreed needs, etc.
Please summarise your concerns so we can select the best adviser to help you
Please highlight all that apply, hold down the control key and click to select.
If you selected Other please give a brief description of these needs
Knowing who is involved in causing you concern can help us advise you
Please share your experiences
Please tell us how we could help

Associate membership

Please tell us if you are an Associate of the Alliance, as we are able to give some priority services, and reduced cost services to Associates.
To become an Associate click here
Please click on the arrow and select your answer
Please click on the arrow and select your answer

Agreeing to Give Feedback

The Parent and Carer Alliance C.I.C. is only able to get funding to provide advice and support through Grant funders, such as the National Lottery Community Fund.
For funding to continue to be given, the Alliance needs to demonstrate how the support we provide helps families like yours.
We need YOUR HELP and FEEDBACK to do this, as telling us what worked for you, helps funders understand why these services are needed
Please click on the arrow and select your answer

Submit

Please click the submit button below to send this form and we'll be in touch very soon. Once the button is clicked a please wait message should appear, then disappear and be replaced by a thank you message at the TOP of the form. You will then be emailed a copy of the form, showing that it has been submitted.

If this doesn't happen, please scroll up for any error messages, as questions with a red star need to be answered for the form to submit. Any issues click here to contact us
AFTER CLICKING SUBMIT SCROLL UP TO CHECK THAT  A 'THANK YOU' MESSAGE APPEARS. YOU WILL BE SENT A COPY OF YOUR COMPLETED FORM AND WILL BE CONTACTED SOON. 
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