Flying Start Referral Form

* Please use GOOGLE CHROME where possible as the form will not submit on Internet Explorer browser

Please fill out the form below with as much detail as possible and we will get in touch with the family to advise of what services are available.

Please note- Flying Start is committed to protecting your/their privacy. We will use your/their information to help us to support them and their family through our services. Your/their information will be processed in a manner that is compliant with the Data Protection Act 2018. For information about how we store your data and to view our Privacy Notice please visit our Policies Website Page

Please note that Little Talkers referrals (previously called Talking Takes Off for Communication) need a separate referral form with as much information as possible on. In addition, we are asking for a quick checklist to be completed and sent with the form- this is due to lots of inappropriate referrals. Please see the forms to send below:

NEW! The Learning Together programme is a targeted offer, therefore families will need to be referred in by a professional and other key partners in the community. Referrals will need to be completed through the a Learning together Referral Form and a completed HLE checklist from the family to be sent securely via email to

What service would you suggest from the list below (if any)?
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