Ben's Place is unable to offer support to those who are under investigation or have
convictions for sexual offences.
This form is currently being developed and as a result we would ask you to contact us if you
haven't heard from us after a couple of days in case there has been an issue with the form
posting.
Please complete the referral form with as much information as possible. It is important
that the referral form is completed in full. Incomplete forms may not be accepted, and
the referrer may need to complete again online. This may result in significant delays to
an assessment being offered.
We may only disclose information to the referrer about the client’s attendance and any
issues discussed with the written consent of the client.
We will only accept referrals for those who have agreed to connect and who are aware that
the referral has been made.
- We will accept referrals for male survivors of sexual violence.
- We must be informed by the referrer of the client’s involvement with other agencies
e.g. Social Services, Probation Services or Mental Health Services. This is
particularly important if the client is involved in care proceedings for example.
- Referring agencies must inform us of any known risks to or from the client.
Required fields are shown in red.