REFERRAL FORM

MAKE A REFERRAL

Please use the tabs below to selevct either self or professional referral. Once you complete the form below we will make contact and discuss further. All referrals are treated with the utmost confidentiality.

Personal Information
Address Details
Incident Details
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Referred Person
Address Details
Referred By
Incident Details
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FAQs

Please browse our FAQs below, and get in touch if you have any further questions.

Help With Reporting
Will my personal details be shared with other organisations?

We promise that all information you provide to us ‐ verbally or in writing ‐ will be kept confidential within the Victim Care and Advice Service. This information will not be shared externally unless you expressly instruct us to do so or unless we are required to under law.

We will take our time to establish the best way to communicate with you; for example, which email address, phone number or other contact method you want us to use. We will take any other steps that you need us to take to protect your privacy.

Help With Reporting
How do I make a complaint to police?

We can provide you with advice about making a complaint

Help With Reporting
I don’t want to report this to police, can I still get support?

Yes, you can still receive our support

Help With Reporting
Do you tell the police everything we discuss?

We promise that all information you provide to us ‐ verbally or in writing ‐ will be kept confidential within the Victim Care and Advice Service.

This information will not be shared externally unless you expressly instruct us to do so or unless we are required to under law.

We will take our time to establish the best way to communicate with you; for example, which email address, phone number or other contact method you want us to use. We will take any other steps that you need us to take to protect your privacy.

Want To Know More?

Get in touch with our team to find out how we can help you.