Safeguarding Referral Form

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In an emergency, please dial 999.

To speak with the safeguarding team direct, please call 0151 203 9159 and press option 5 or email Safeguarding@Barfection.co.uk

If you wish to speak with the designated safeguarding lead, Thomas Nolan, please refer to your handbook for a direct number or call 0151 203 9159, option 5.

Is this form about you? *

Yes

If not, please give your full name and relationship to the individual

Please provide a contact number for the individual completing the form: *

Full name of the individual at risk: *

Please state what the concern is regarding: *

Location of the incident: *

Detailed description of the incident: *

Is the individual at immediate risk of harm? *

Yes

Not sure

Are there any other individuals who might be at risk? If so, please provide details:

All information provided will be treated as confidential and shared only with those necessary to ensure the safety and welfare of the individual(s) involved. By submitting this form, you confirm that the details provided are accurate to the best of your knowledge.

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