One Adoption Referral Form
Only complete the below referral form if you are a social worker or professional working in One Adoption North & Humber, One Adoption West Yorkshire or One Adoption South Yorkshire.
If you have any questions prior to completing the form, please contact PAC-UK's Advice Line on 0300 1800 090 or email oneadoption@pac-uk.org
![](https://www.pac-uk.org/wp-content/uploads/2019/03/OneAdoptionLogo_Group-300x129.jpg)
PAC-UK is the lead provider in a service (funded by One Adoption) working with 15 Local Authorities to provide support to anyone in the region affected by adoption.
Please include as much detail as possible on the referral form below. Fields highlighted with a red * symbol are mandatory and must be completed in order for you to submit the form.
Once you have pressed submit, your form will automatically be sent to the PAC-UK Advice Line who will respond at the earliest possible opportunity. A notification message will appear on your screen confirming your referral has been received and you will receive a copy of your form via email.
All information processed in relation to your enquiry and/or booking adheres to PAC-UK's Privacy Statement.
Note, failure to provide enough information could result in delays. Please read each question carefully to ensure all contact details provided are correct.