Partner Agency Referral Form

Staff from other agencies and organisations wishing to refer someone who has experienced domestic abuse within the last 3 months, should give their client the NDAS telephone number, and encourage them to self refer.

If you need to complete a referral on behalf of your client please call 01434 608030, if it is out of office hours please complete the form below. Please complete a DASH risk assessment with your client BEFORE submitting this form and include the score (correct number only) in the form below. If no DASH has been done, please ring the office.

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