Please complete this form as soon as possible, preferably within 24 hours.

If a child or vulnerable adult is in immediate danger, please phone 999.

All information will be treated as confidential and managed in accordance with relevant data protection legislation and guidance. You have a right of access to information held on you under the Data Protection Act 1998.

Safeguarding Concern Form
Does the person at risk agree to you making the referral to us?