Forms for Professionals

Please select the forms you need below:


Child Referral Forms

Universal Referral Form

A written confirmation of the referral must be completed and submitted within 24 hours.  Where possible, North Yorkshire CYPS request that you use their ”Referral Form to the Children and Family Service” to ensure that all relevant information is provided to ensure that the referral can be progressed as effectively as possible.

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Reports for Initial and Review Child Protection Conferences

ICPC Revised Template

RCPC Revised Template

CP Conference Report for Medical Practitioners

Agency reports for Initial Child Protection Conferences (ICPCs) and Review Child Protection Conferences (RCPCs).
It is essential that these reports are shared with the parents well before the conference to ensure that the family are prepared the meeting.  You may wish to do this at the last Core Group before the Child Protection Conference and then give a verbal update to the Conference to outline any subsequent information.
All reports should be made available to the Chair two working days before the ICPC and five working days before a RCPC.

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Child Deaths

Child Death Notification Online Form

Child Death Notification – Word Form

A joint Child Death Overview Panel (CDOP) has been agreed for the North Yorkshire and York LSCBs.

Professionals who become aware of a child death are encouraged to contact the CDOP Administrator/Manager.

Notification should be made using the online Child Death Notification form which can be access from the link opposite.

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Partnership Information Sharing Form

Police Partnership Information Sharing Form

Form designed to provide the police with intelligence where professionals have concerns.

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Allegations against Staff Forms

LADO Referral Form

Where appropriate a referral should be sent to the Local Authority Designated Officer using the LADO Referral Form, giving as much detail as possible. Completed LADO Referral Forms should be emailed using secure mail (e.g. gcsx, pnn, cjsm,, etc.) to If you are an Egress user please email  If you do not have secure email please contact 01609 532477.

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