Professional Referral Form

REFERRALS FROM PROFESSIONALS OR AGENCIES MADE ON THE SELF REFERRAL FORM WILL NOT BE RESPONDED TO.

Click here to use the External Professionals Referral Form to refer someone you are supporting in a professional capacity.

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We are a survivor focused organisation and as such we do not accept referrals for anyone who is subject (the suspect) to an ongoing police investigation for sexual, domestic or violent offences, or for anyone who may pose a risk of harm to others. I confirm that the person being referred does not pose a risk of harm to others, and is not known to Police regarding violent or sexual offences.

This referral cannot be submitted unless the above information is confirmed. By ticking this box, I / the person being referred agree for checks to be made regarding their risk status. Kent Sexual Assault and Abuse Service reserve the right to refuse the provision of services.

Please complete the below form with as much information as possible. We may only disclose information to the referrer about the service user’s attendance with written permission from all parties.

We will not disclose issues discussed without the written consent of the service user.

We will only accept referrals for those who have agreed to attend and who are aware that the referral has been made.

• Referring agencies must inform us of any known risks to or from the service user.
• We will not disclose issues discussed without the written consent of the service user unless there are safeguarding concerns.
• We will accept referrals for survivors of sexual violence.
• We must be informed by the referrer of the service user’s involvement with other agencies e.g. Social Services, Probation Services or Mental Health Services. This is particularly important if the service user is involved in care proceedings.

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