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MAKING REFERRALS INCIDENT REPORT FORM CHILDREN Name of child (where applicable): Your name:Name of organisation: Your role:Contact information (you): Address: Postcode: Telephone numbers: Email address:
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The referral form for children is a document used to report concerns regarding the welfare of a child, typically to child protective services or relevant agencies.
Individuals who have reasonable cause to suspect that a child may be abused or neglected, such as teachers, doctors, and social workers, are required to file the referral form.
To fill out the referral form, provide detailed information about the child, the nature of the concerns, any relevant family information, and contact information of the person making the referral.
The purpose of the referral form is to initiate an investigation into potential child abuse or neglect and to ensure the safety and well-being of the child.
The form must report the child's details, the nature of the concerns, the circumstances surrounding the referral, and any prior incidents of abuse or neglect.
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