Home > Contact > Make a Referral

Your Name (required)

Your Email (required)

Your Telephone number (required)

Name of person you are referring

Address of the person you are referring

Safe contact details for person you are referring

Reason for referral. (Please provide as much information as possible including the nature of abuse and the type of support required).

Relationship status

Are the police involved?
YesNoDon't know

Does the person consent to IDAS support?
YesNo

Please type the letters and numbers below into the box.
captcha

 

You can also make a referral to us by ringing our helpline on: 03000 110 110

Police and Crime Commissioner, North Yorkshire County Council, City of York Council, Barnsley Metropolitan Borough Council, BBC Children in Need, Leading Light Accreditation by Safe Lives