For Professionals

If you’re a professional, and you’d like to refer someone to Shropshire Child Contact Centres, please fill out the form below.

Working with professionals

Shropshire Child Contact Centres work closely with a wide range of professionals, including family solicitors, mediators, CAFCASS officers, social workers, and more, to support safe, appropriate child contact arrangements for families.

Where parents are unable to communicate directly or where court orders are in place for supported contact, we can help at the low cost of £50/family/year.

If you are a professional, please fill out the form below, and we’ll get back to you as soon as possible.

Refer a Family

To refer a family to Shropshire Child Contact Centres please complete the form below with as much detail as possible. If you have any questions above this form or you’d like to learn more about who we are and what we do, please get in touch using the details below.

Call:0772 195 2857

Email:contact@shropshireccc.com

Fields marked with an * are required.

Referrer

Name*

Position*

Address*

Telephone No.*

Email Address*

Adult with whom child(ren) reside

Name*

Relationship to child(ren)*

Address*

Telephone No.*

Email Address*

Solicitor’s Name & Practice

Solicitor Name*

Practice Name*

Address*

Telephone No.*

Email Address*

Person requesting contact

Name

Relationship to child(ren)

Address

Telephone No.

Email Address

Solicitor’s Name & Practice

Solicitor Name*

Practice Name*

Address*

Telephone No.*

Email Address*

Children

Child Name*

Date of Birth*

Boy/Girl*

Child Name

Date of Birth

Boy/Girl

Child Name

Date of Birth

Boy/Girl

Child Name

Date of Birth

Boy/Girl

CAFCASS Officer

Has there ever been/is there a cafcass officer?

Officer Name

Office

Telephone No.

Email Address

When and where did contact last take place?*

Is there a court order relating to contact?

If yes, please send a copy using the contact details above.

If there is no contact order, have the parents ageed to be taken out of centre?

Is there a residence order?

If yes, with whom?

Who has parental responsibility?

Name

Are the parents willing to meet?

Will the person with whom the child(ren) reside be bringing them to and collecting them from the Centre?

If no, who will be brining and collecting the children?

Name

Telephone No.

Is it agreed that the resident parent does not attend in the contact visits room?

Is is agreed that only the contact parent attends with the child(ren) in the visits room?

What is the proposed data of first contact at the centre?

How frequently will contact take place thereafter?

How long should easy visit last?

Time of visit (subject to availability)

Other People allowed to participate at the centre

Name

Relationship to child(ren)

Name

Relationship to child(ren)

Name

Relationship to child(ren)

Are there or have there been sexual / child abuse allegations or convictions made in this family?

If yes, please contact the Centre Co-ordinator / Manager using the contact details above.

Please give details of any undertakings, injunctions or convictions relating to violence involving either party, respective families or the child(ren)

What language is spoken at home?

Is an interpreter required? (to be arranged by the solicitor)

Has this family ever used another Child Contact Centre? If yes, please give details

Additional background information, to include problems with drugs, alcohol, medical conditions and / or disability

Are there any foods / drinks the child(ren) are not allowed?

Wherever possible we would like parents and child(ren) to visit a Child Contact Centre prior to contact starting, please select a date for this pre-visit below.

Date for pre-visit