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Safeguarding Children REFERRAL Form to Southampton MultiAgency Safeguarding Hub (MASH) Referral TAKEN by: Name Job Title: Agency×Team: Date of Referral: Time: Telephone: 1. Details of Practitioner
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How to fill out safeguarding children referral form

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How to fill out a safeguarding children referral form:

01
Start by providing your personal information, such as your name, contact details, and your role or relationship to the child in question.
02
State the reasons why you believe a safeguarding referral is necessary. Be specific and provide as much detail as possible, such as incidents, behaviors, or concerns that have led you to make this referral.
03
Include any relevant information about the child, such as their name, age, address, and any other identifying details. This will help the authorities identify and locate the child quickly.
04
Provide information about the child's family or caregivers, including their names, addresses, and any known contact details. It is crucial to include this information, as it helps the authorities understand the child's living situation and potential risks.
05
Document any witnesses or individuals who may have additional information about the child's situation. Include their names, contact details, and their relationship to the child or the reported incidents.
06
Provide a detailed account of any incidents or behaviors observed or reported that raise concern for the child's safety or well-being. Include dates, times, locations, and any other relevant information that can help authorities investigate the situation thoroughly.
07
If applicable, attach any supporting documents, such as photographs, medical records, or previous reports that can provide further evidence or context to support your concerns.
08
Sign and date the referral form to confirm that the provided information is truthful and accurate to the best of your knowledge.

Who needs the safeguarding children referral form?

The safeguarding children referral form is typically required by professionals or individuals who have a reasonable belief that a child may be at risk of abuse, neglect, or harm. This may include teachers, healthcare professionals, social workers, police officers, or any concerned individual who works closely with children. The form allows them to report their concerns to the relevant child protection authorities, triggering an investigation to ensure the child's safety and well-being.
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The safeguarding children referral form is a document used to report concerns about the welfare and safety of children.
Professionals working with children such as teachers, healthcare workers, social workers, and police officers are required to file safeguarding children referral form if they have concerns about a child's welfare.
The form typically requires details about the child, the concerns being reported, and any actions taken so far. It is important to be factual and detailed in filling out the form.
The purpose of the safeguarding children referral form is to ensure that concerns about the welfare of children are properly documented and acted upon by relevant authorities.
Information such as the child's name, age, address, details of the concerns, any previous incidents, and actions taken or recommended should be reported on the safeguarding children referral form.
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