Refer a family

Know a child or family who might need us?

Teachers, social workers, community organisations, schools and community members can use this form to start a conversation about a possible referral.

Not for emergencies.

If a child is in immediate danger, please call 000. This website is not a crisis or emergency response service.

Don't fill this out if you're human:

Please don't include the child's name, date of birth, or detailed medical, legal, court or custody information in this form. We'll discuss relevant details with you directly if we're able to help.

Your name

Organisation (if applicable)

Your professional / community role (if applicable)

Your relationship to the family

Phone

Family's general postcode or area

Broad reason for your enquiry A general description is enough — please avoid identifying sensitive details here.

Is the parent or guardian aware of this referral?

Preferred contact method

I consent to Hole in the Clouds contacting me about this referral, and understand this is an initial enquiry only.