Professional Safeguarding Referral

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Getting Started

Information for Professionals:
Safeguarding means protecting an adult's right to live in safety, free from abuse and neglect.
Please complete this form if you are worried or concerned about an adult who:
 
  • Has care and support needs
  • Is experiencing or at risk of abuse or neglect
  • Cannot protect themselves because of those needs
Getting Started
You will need to create a portal account or log in to complete and submit the form.
What you need to complete this form
  • Details about the person you are referring
  • Your own contact details
  • Details about the alleged abuse or suspect (please see in form guidance)
  • Your concerns
How Long Will It Take?
  • Less than 10 minutes to complete
  • The session will time out after 20 minutes of inactivity
Privacy
For details on how we use your data, visit:
Privacy
How to use this Form
Questions
You DO NOT need to answer every question, you need only complete what is relevant.
Select the option(s) that best suit your response This symbol indicates that the question is mandatory and must be answered in order to continue. image. Select the option(s) that best suit your response

This symbol Select the option(s) that best suit your response This symbol indicates that the question is mandatory and must be answered in order to continue. image. indicates that the question is mandatory and must be answered in order to continue.
Use the numbered menu items on the left or use the Use the numbered menu items on the left or use the and options to move through the pages. Don't use the Browser 'Back' button image. and Use the numbered menu items on the left or use the and options to move through the pages. Don't use the Browser 'Back' button image. options to move through the pages.

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