Children's Services

Online request for an assessment form

The online form allows you to contact Children's Services directly with a request for an assessment of a child's needs. Please only use this form if you are requesting an assessment for a Child (Under 18). We will then contact you to provide more information and details of any assessment that needs to be carried out.

Alternatively if you would like to talk to someone ether on the telephone or in person please feel free to contact the Assessment Team at the address shown.

Do not use this form to make an urgent or emergency referral out of the office hours.

Emergency out-of-hours referrals should be made to the Emergency Duty Team. Tel: 020 8594 8356

If you think that someone is in immediate danger, then please telephone the emergency services on 999.

About your enquiry

I am enquiring about:

Details of the person being referred if known:

First name:

Last name:

House number and street:

City / town:

County:

Postcode: No space

Email:

Date of Birth: (i.e. 01/01/1970)

Next of kin:

Customer Ethnicity Details

We know that many people from different ethnic groups live in Barking and Dagenham, and wish to ensure that the services we provide properly meet their needs. In order to do this we need to ensure our information about the community we service is as accurate as possible. We would be grateful therefore, if you would please select as appropriate:

Ethnicity:

If other, please specify

Personal Details of the person requesting the service (if you are not the one that requires a service from us)

Personal surname:

Personal forename:

Telephone (Work/Home):

Telephone (Mobile):

Your relationship to the young person requiring the service:

How can we help you?

Please be as specific as possible - include details of any illness, mental health problems, deterioration in physical condition, evidence of learning disability or issues related to accommodation, social circumstances and finances:

Contacting you

What is the best time to contact you?

Contact

Assessment Team

Municipal Offices

127 Ripple Road

Barking

IG11 7PB

Tel: 020 8227 3852, 020 8227 3882 or 020 8227 3860

Fax: 020 8227 3951

Textphone: 020 8227 3882

Email: childrenss@lbbd.gov.uk|

Assessment Team Location Map|