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TEMPLATE 2 Safeguarding Referral Form Information contained on this form will form part of England Hockey investigation into the alleged incident. As the person completing the form, please notify
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How to fill out safeguarding referral form

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How to fill out a safeguarding referral form?

01
Start by gathering all necessary information about the individual who requires safeguarding. This includes their name, contact details, date of birth, and any relevant medical or personal history.
02
Identify the type of safeguarding concern that prompted the need for the referral. It could be related to physical abuse, neglect, exploitation, or any other form of harm.
03
Begin filling out the referral form by providing your own contact information, including your name, role or position, and contact details. This is important for follow-up or clarification purposes.
04
Clearly describe the safeguarding concern in detail. Be specific about any incidents or observations that have raised concerns for the individual's safety or well-being. It is important to provide as much relevant information as possible to ensure the proper authorities can intervene effectively.
05
Indicate whether the individual has consented to the referral being made. If they are unable to provide consent due to their age or capacity, explain the reasons why the referral is necessary and outline any attempts made to consult with other involved parties, such as family or caregivers.
06
Include any relevant supporting documentation or evidence that would help substantiate the safeguarding concern. This can include photographs, medical reports, witness statements, or any other information that supports your referral.
07
If you are aware of any immediate risks or emergencies, clearly state them in the referral form and provide instructions on how urgent intervention should be.
08
Review the completed referral form for accuracy and completeness. Ensure all necessary fields have been filled in and any required attachments or supporting documents have been included.
09
Submit the safeguarding referral form to the appropriate authority or designated safeguarding lead as per your organization's procedures. Keep a copy of the completed form for your own records.

Who needs a safeguarding referral form?

01
Individuals who are at risk of or have experienced abuse, neglect, exploitation, or any form of harm require a safeguarding referral form to ensure their safety and well-being is properly addressed.
02
Professionals or individuals who witness or become aware of any safeguarding concerns, such as healthcare workers, social workers, teachers, or community members, may need to fill out a safeguarding referral form to report the concerns and seek appropriate intervention.
03
Organizations or institutions that have a duty of care towards vulnerable populations, such as residential care facilities, schools, or community centers, often have safeguarding referral forms in place for their staff members to use when necessary. These forms help ensure that potential risks or incidents are reported promptly and effectively addressed.
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