This referral form is for professionals wishing to refer their clients and should be used only where individuals do not wish to report their experience to the Police.
Our ISVA service supports clients who have recently reported or who are considering reporting their experience to the police, referrals to the ISVA service can be made here.
Does the client you are referring for support have any recent convictions (within the last 5 years) for any violent or sexual offences? If yes, please call us on 01226 320140 to discuss. If no, please fill in the remainder of the form.